[A case of myomectomy for infertility and a following twin pregnancy associated with hyperthyroidism]

The authors describe an infertility case caused by a posterior wall subendometrial fibromyoma of the uterus and treated by traditional transcavitary myomectomy dwelling upon details of the operative technique. The following pregnancy is complicated by twin gestation, hyperthyroidism and preterm delivery. Fetuses were born by caesarean section one in good condition, the other affected by myelomeningocele with good prognosis. Clinical pictures emerged during pregnancy are discussed, in particular the therapy of hyperthyroidism, beta 2-adrenoceptor stimulants drugs, diagnosis and multifactorial genesis of fetal malformation.