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Huge Fibroid in Pregnancy: A Case Presentation.
Athanasios Petroulakis1, Emmanouil Katsanevakis1, Bing Tiong1
1Obstetrics and Gynaecology, Nottingham University Hospitals NHS Trust, Nottingham, GBR.
Cureus
|May 6, 2024
Summary
This case study highlights managing a large uterine fibroid during pregnancy. Interventional radiology, using internal iliac artery balloons, minimized complications during a preterm cesarean delivery.
Area of Science:
- Obstetrics and Gynecology
- Interventional Radiology
Background:
- Uterine fibroids (leiomyomas) are common benign tumors in the female reproductive system.
- Pregnancy can be complicated by uterine fibroids, necessitating careful management strategies.
Observation:
- A high-risk pregnancy was managed with a 18 cm uterine fibroid diagnosed during gestation.
- Delivery was performed via cesarean section at 34 weeks gestation.
Findings:
- Interventional radiology was crucial, employing bilateral internal iliac artery balloons.
- This intervention significantly minimized blood loss and surgical complications.
Implications:
- This case demonstrates the critical role of interventional radiology in managing complex fibroid pregnancies.
- It informs decisions on maternal-fetal risks, delivery timing, and fibroid management during pregnancy.
