Antepartum myomectomy

Abstract

Myomectomy perfonned during pregnancy is a rarity. Literatw·e survey showed few case reports on antepartum myomec­tomy. Though controversy persists among reports, but some case series reported the successfull antepartum myomectomy in carefully selected patients. Sometimes surgery is planned for ovarian tumour but incidentally found fibroid during surgery as itis also done in the present case. We here present a case report of a 28 years primigravida woman who had undergone laparotomy for antenatally diagnosed case of ovarian tumour at 13 weeks of gestation under spinal anesthesia. But on opening the abdominal cavity a large sub-serous degenerated fibroid was found to arise from the fundus. Myomec­tomy was performed ensuring minimum handling of the uterus. The patient had au uneventful postoperative period and was discharged on 8th post operative day. She delivered a healthy male baby of 3 kg at 39 weeks of gestation with good apgar score.