Multiple laparotomic myomectomy during pregnancy: a case report

• Published in: Archives of gynecology and obstetrics Vol. 284; no. 3; pp. 613 - 616
• Main Authors: Lozza, V., Pieralli, Annalisa, Corioni, S., Longinotti, M., Penna, C.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01-09-2011; Springer Nature B.V
• Subjects: Adult; Case reports; Cesarean Section; Endocrinology; Female; Gynecology; Human Genetics; Humans; Hysterectomy; Leiomyoma - surgery; Live Birth; Maternal-Fetal Medicine; Medicine; Medicine & Public Health; Obstetrics/Perinatology/Midwifery; Pregnancy; Pregnancy Complications, Neoplastic - surgery; Pregnancy Trimester, Second; Uterine Neoplasms - surgery; Pregnancy; Obstetric outcome; Myomectomy; Laparotomy
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-011-1939-1

The presence of uterine myomas during pregnancy is considered a risk factor for gestation and delivery. In literature, myomas are related to spontaneous abortion, bleeding, PPROM, preterm delivery, placenta previa, placental abruption, fetal malpresentations, mechanical dystocia and high incidence of cesarean section. Laparotomic myomectomy done during pregnancy is indicated when symptoms related to uterine myomas, as acute pelvic pain or gastroenteric or urinary symptoms, persist despite the pharmacological therapy. The purpose of this study is to show a successful surgical management of uterine myomas at 15.5 weeks of pregnancy, which allowed the continuation of gestation and a delivery without major complications.