Caeserean myomectomy in a primigravida at term

Abstract

Caesarean myomectomy is a controversial topic in our set up. This is a case report of a 29-year-old primigravida who was scheduled to undergo caesarean section due to a large lower uterine segment fibroid at term. Intra-operatively, the uterine fibroid interfered with closure of the uterus after extraction of the infant. A caesarean myomectomy was successfully carried out and hysterectomy avoided. The decision to carry out caesarean myomectomy should be individualized to the patient, presentation, surgeon’s experience and available resources.