Abstract
Their presence has been linked to spontaneous abortion, intrauterine growth restriction (IUGR), anemia, multiple blood transfusions, infection, pain, degeneration, malposition of foetus, premature labour, uterine inertia, placental abruption, postpartum hemorrhage, retention of the placenta, increased rates of cesarean section, hysterotomy, obstetric hysterectomy
Highlights
Pregnancy along with a fibroid is a high risk pregnancy which may lead to complication with unequal gravity. Their presence has been linked to spontaneous abortion, intrauterine growth restriction (IUGR), anemia, multiple blood transfusions, infection, pain, degeneration, malposition of foetus, premature labour, uterine inertia, placental abruption, postpartum hemorrhage, retention of the placenta, increased rates of cesarean section, hysterotomy, obstetric hysterectomy [2,3,4,5,6]
Patient was diagnosed fibroid with pregnancy at 8 weeks of gestation with MRI suggestive of huge subserosal multilobulated fibroid arising from anterior wall of uterus extending in abdomen up to epigastric region, total mass measuring 10 × 19 × 23 cm with areas of degeneration
The fibroids are asymptomatic with only 9% of large fibroids showing any symptoms; mainly lower abdominal pain in the 2nd or 3rd trimester s suggestive of red degeneration
Summary
Uterine fibroids are benign smooth muscle tumours of the uterus. Its prevalence during pregnancy has been reported to be 1-4% [1]. We present a case report of a patient with pregnancy with multilobulated fibroid (subserosal) (broadbased, not pedunculated) occupying whole lower uterine segment. Patient was diagnosed fibroid with pregnancy at 8 weeks of gestation with MRI suggestive of huge subserosal multilobulated fibroid arising from anterior wall of uterus extending in abdomen up to epigastric region, total mass measuring 10 × 19 × 23 cm with areas of degeneration (cystic). At her town place, primarily she was advised termination She was explained regarding need of myomectomy after MTP and SOS chances of hystrectomy. Barrier method was advised strictly for 3 years (Figure 1, Figure 2 and Figure 3)
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