Abstract
BackgroundUterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting.Case presentationA term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful.ConclusionThe authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.
Highlights
Uterine fibroids are the most common uterine tumours in females of reproductive age
Uterine fibroids often increase in size during pregnancy, this increases their risk for complications such as ‘red degeneration’ or aseptic necrobiosis [5] and leads to frequent diagnostic ambiguity of obstetrical or gynaecological pathologies in resource-challenge settings [6]
We report the case of an aseptic necrobiosis of a uterine fibroid mimicking a strangulated umbilical hernia on a term pregnancy
Summary
The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.
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