A huge polypoid uterine myoma causing severe primary postpartum haemorrhage: A report of one case

Abstract

Complications from uterine myomas in pregnancy could occur antenally, intrapartum or in the puerperium. One of such was diagnosed in a 36-year old para 2+0 who had successful gestation to term delivery in co-existence with a huge fibroid polyp and had spontaneous vaginal delivery of a life baby. She however developed severe primary postpartum haemorrhage prompting emergency postpartum digital vaginal myomectomy which was very helpful.

A rare case of cervical fibroid presenting as retained placenta with postpartum hemorrhage

“…Adagi et al reported a case of huge polypoidal uterine myoma causing severe primary post-partum hemorrhage prompting emergency postpartum digital vaginal myomectomy following which bleeding was controlled. 4 Our case has similar presentation except that initially it looked like a case of retained placenta. In addition to clinical assessment, radiological diagnosis (USG) also revealed placental tissue.…”

Placenta accreta associated with submucosal fibroid polyp

“…Postnatal complications of pedunculated uterine polyp include PPH, infection, necrosis, prolapse of the polyp and inversion of uterus if the polyp is large. A case of pedunculated submucosal fibroid of lower segment causing PPH is recently reported13 and two cases of infection and necrosis and prolapse were reported in older literature 14…”

Kehamilan Dengan Mioma Uteri Post Miomektomi

“…1 Komplikasi fibroid uteri pada kehamilan dapat muncul pada antenatal, intrapartumatau masa puerperium. 4 Ukuran mioma dan lokasi mioma dapat menjadi penyebab dilakukannya kelahiran dengan cara operasi sesar. 5 Walaupun banyak kemajuan signifikan pada terapi mioma secara bedah dan non-bedah, penanganan mioma pada seksiosesaria (CS; cesareansection) masih menjadi suatu kontroversi 6 Miomektomi merupakan tindakan pembedahan yang biasanya tidak dilakukan saat operasi sesar.…”