Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

Haruna, Iman Usman; Tukur, Jamilu; Takai, Idris Usman; Mohammed, Abdullahi M.; Bunawa, Ali Abdurrahman

doi:10.4081/aamr.2020.86

Cited by 2 publications

(1 citation statement)

References 20 publications

(17 reference statements)

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“…In this case, the presence of a tumor is often accompanied by additional factors. Implantation failure occurs in tumors that deform the uterine cavity, and the pregnancy rate is almost the same in women after conservative myomectomy and in patients with a tumor that does not deform the uterine cavity: 20.8 and 16.9% [29][30][31][32]. Uterine fibroids can be associated with recurrent miscarriage, or early birth, especially submucous nodes, which can disrupt the implantation process, or compete with the fetus for space.…”

Section: Resultsmentioning

confidence: 99%

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Aleksandrovna

et al. 2022

J. Med. Chem. Sci.

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Section: Resultsmentioning

confidence: 99%

Untitled

Aleksandrovna

et al. 2022

J. Med. Chem. Sci.

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Successful myomectomy during pregnancy for the indication of acute lower abdominal pain with red degenerative myoma or ovarian torsion? “Case report”

Dinsa,

Eticha,

Terefe

2024

SAGE Open Medical Case Reports

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Uterine fibroids are benign tumors, arising from uterine smooth muscle cells. They are one of the most common benign tumors of the female genital tract among childbearing women, occurring in 20%–50% of women of reproductive age. The association of uterine myomas with pregnancy is high. This occurrence is constantly increased, linked to the onset of pregnancies, leading to the incidence of myomas gradually rising with age, hence the emergence of ultrasound reveals during routine ultrasound examinations of pregnancies, that were previously asymptomatic. Myomectomy during the second trimester was done and pregnancy continued safely to the third trimester. After successfully repairing it, the pregnant woman followed her antenatal care at Wollega University Referral Hospital, Western Oromia, Ethiopia. We presented the 20-year-old primigravida lady with a complaint of lower abdominal pain and a slight fever. We found a non-pedunculated, attached to the uterus via a broad base) myoma measuring 4 × 4 cm on 2D pelvic ultrasound. We admitted the client and gave her conservative management after we put her on antibiotics. Despite antibiotics, the pain persists we decided to manage it through an operation after we counseled the client about the potential complications. Then we removed the myoma without manipulating the uterus and it was a successful myomectomy without complicating the fetomaternal conditions. Currently, fetomaternal conditions are safe, and the woman is following her antenatal care at Wollega University’s Referral Hospital. In the majority of cases of women with fibroids, pregnancy comes with complications, according to literature data, The coexistence of the myoma with pregnancy: increased frequency of spontaneous abortions and premature births, increased risk of bearing ablation, higher incidence of maternal-fetal incommunicability, incorrect position of the fetus, more often performed cesarean surgery, higher probability of postpartum hemorrhage. Prenatal myomectomy can be safely performed in the first and second trimesters of pregnancy; however, it is recommended to deliver the baby via cesarean section, due to fear of intrauterine rupture of the uterus.

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Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

Cited by 2 publications

References 20 publications

Untitled

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Successful myomectomy during pregnancy for the indication of acute lower abdominal pain with red degenerative myoma or ovarian torsion? “Case report”

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