Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report
Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/154347 |
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| author | Lavinia Domenici Violante Di Donato Maria Luisa Gasparri Francesca Lecce Jlenia Caccetta Pierluigi Benedetti Panici |
| author_facet | Lavinia Domenici Violante Di Donato Maria Luisa Gasparri Francesca Lecce Jlenia Caccetta Pierluigi Benedetti Panici |
| author_sort | Lavinia Domenici |
| collection | DOAJ |
| description | Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach.
We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases. |
| format | Article |
| id | doaj-art-09c805ec2e344d579f09b2d110ad7c72 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-09c805ec2e344d579f09b2d110ad7c722025-02-03T01:27:13ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/154347154347Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case ReportLavinia Domenici0Violante Di Donato1Maria Luisa Gasparri2Francesca Lecce3Jlenia Caccetta4Pierluigi Benedetti Panici5Department of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyDepartment of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyDepartment of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyDepartment of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyDepartment of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyDepartment of Obstetrics, Gynecology and Urologic Sciences, “Sapienza” University, Viale Del Policlinico 155, 00155 Rome, ItalyMyomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.http://dx.doi.org/10.1155/2014/154347 |
| spellingShingle | Lavinia Domenici Violante Di Donato Maria Luisa Gasparri Francesca Lecce Jlenia Caccetta Pierluigi Benedetti Panici Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report Case Reports in Obstetrics and Gynecology |
| title | Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report |
| title_full | Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report |
| title_fullStr | Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report |
| title_full_unstemmed | Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report |
| title_short | Laparotomic Myomectomy in the 16th Week of Pregnancy: A Case Report |
| title_sort | laparotomic myomectomy in the 16th week of pregnancy a case report |
| url | http://dx.doi.org/10.1155/2014/154347 |
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