Abstract
BackgroundExcision of a leiomyoma has never been a choice during caesarean section.MethodMyomectomy of a massive fibroid was necessitated prior to delivering the baby.ResultsDelivery of a healthy was effected by Classical caesarean section.ConclusionLeiomyoma in pregnancy is not an unknown entity and is a cause of concern for being a source of excruciating pain, at times, during the ongoing gestation.Although performed rarely, it is sometimes necessary to remove a large myoma to effect delivery of the baby during Cesarean section as is depicted in the case being presented hereunder.
Highlights
According to the various studies, incidence of myomas in pregnancy is estimated to be 2-4%[1,2,3]
Albeit myomectomy performed during pregnancy remains a rarity, increasing rate of myomectomies during cesarean section has been reported in the past decade[4,5,6] and, above all, certain studies have regarded this as an effective and safe procedure that is not associated with much bleeding or other complications[7]
The reported incidence varies widely, prevalence of fibroids, during pregnancy, larger than 1 cm is mentioned to be 1.6%[8], while in a study conducted by Exacoustos and Rosati[9], 4% patients were diagnosed of having leiomyomas > 3 cm
Summary
According to the various studies, incidence of myomas in pregnancy is estimated to be 2-4%[1,2,3]. Albeit myomectomy performed during pregnancy remains a rarity, increasing rate of myomectomies during cesarean section has been reported in the past decade[4,5,6] and, above all, certain studies have regarded this as an effective and safe procedure that is not associated with much bleeding or other complications[7].
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