Abstract
Routine caesarean myomectomy is not a standard procedure and has been condemned in the past due to fear of uncontrolled haemorrhage and peripartum hysterectomy. However, it may be considered a safe option in carefully selected cases in the hands of an experienced obstetrician. In this case, we describe a 35-year-old primigravida posted for elective caesarean section in view of breech presentation. Intraoperatively a 6 *7 cm anterior intramural fibroid was noted which was removed by intracavitary approach through lower segment uterine incision, thus reducing uterine scar and future adhesions. Increasing evidence suggests that myomectomy can be performed concurrently with caesarean section without an increased risk of blood transfusion or hysterectomy.
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