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East African Medical Journal

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Caeserean myomectomy in a primigravida at term

E Maogoto, K Kinuthia, A.N. Bosire

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.




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