East African Medical Journal

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Caeserean myomectomy in a primigravida at term

E Maogoto, K Kinuthia, A.N. Bosire


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.

AJOL African Journals Online