Successful Myomectomy with Pregnancy

Authors

  • Kohinoor Khan Professor of Obstetrics & Gynecology department at Gonoshasthaya Samaj Vittik Medical College & Hospital, Savar, Dhaka - 1344, Bangladesh
  • Kaniz Fatema Registrar of Obstetrics & Gynecology department
  • Manabi Binte Ashraf Medical Officer, Obstetrics & Gynecology
  • Noor E Alam Patuary Professor of Anesthesiology
  • Harbilash Haldar Assistant Professor of Anesthesiology

DOI:

https://doi.org/10.3329/jbcps.v39i1.50460

Keywords:

Fibromyoma, myomectomy, red degeneration, abruptio placentae, premature rupture of membrane, pretermlabour ,obstructed labour

Abstract

The prevalence of Leiomyomas with pregnancy is reported as 0.3-2.9%1.They usually remain asymptomatic during pregnancy, if they are small.In symptomatic one, management is generally expectant and surgical removal is particularly delayed until after delivery. Symptomatic myoma, which does not respond to conservative management need antenatal myomectomy. Second trimester is preferable for its better outcome8,12.We present a case of symptomatic multiple uterine fibroids which include a huge one, diagnosed during pregnancy clinically & ultrasonography confirmed it. The casewas managed successfully by antenatal myomectomy due to failure of conservative management.Totalweight of fibroids was 1500gms. The pregnancy progressed to term uneventfully & elective caesarian section was done on 28/04/2019 for transverse lie. A healthy female baby weighing 03Kg was delivered. The patient was discharged in good condition on 05/05/2019.

J Bangladesh Coll Phys Surg 2021; 39(1): 59-61

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Published

2020-11-25

How to Cite

Khan, K., Fatema, K., Ashraf, M. B., Patuary, N. E. A., & Haldar, H. (2020). Successful Myomectomy with Pregnancy. Journal of Bangladesh College of Physicians and Surgeons, 39(1), 59–61. https://doi.org/10.3329/jbcps.v39i1.50460

Issue

Section

Case Reports