Inevitable Caesarean Myomectomy

Abstract

The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent
pregnancies had been prescribed in its place.We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery
ensured minimal intra operative and post operative blood loss.

Keywords: caesarean myomectomy, inevitable, fibroids