Emergency myomectomy during pregnancy: a case report

Abstract

A 25 year old primigravida at 17 weeks gestation, whose pregnancy was complicated by uterine fibroid, is presented. Physical signs and ultrasonography suggested ovarian malignancy complicating pregnancy. Exploratory laparotomy done with the surgeons revealed a degenerated, ruptured, giant mass that weighed 11.6kg. The mass was attached to the right lateral side of the uterine fundus, by a thick and short pedicle. It was also adherent to the infracolic omentum, the pelvic and abdominal parietal peritoneum. Histopathological diagnosis was degenerated uterine fibroid. Pregnancy, labour and puerperium were uneventful, with a spontaneous vertex delivery of a life male baby.

Keywords: pregnancy, uterine fibroids, myomectomy

Tropical Journal of Obstetrics and Gynaecology Vol. 22(1) 2005: 79-80