SURGICAL REMOVAL OF A LARGE FIBROID DURING PREGNANCY: A CASE REPORT

Abstract

Antenatal myomectomy is usually avoided owing to the fear of complications such as miscarriage, damage to the growing foetus due to direct trauma during surgery or due to the drugs that are being used during perioperative period, postoperative complications such as uncontrolled haemorrhage, which may require caesarean hysterectomy, etc. However, if surgery is unavoidable due to various reasons such as intrauterine growth retardation, severe pain, etc., it is usually performed in the second trimester. We report a case of successful antenatal myomectomy during the 20th week of pregnancy. A 29-year-old primigravida presented to the outpatient department of obstetrics and gynaecology in the People's College of Medical Sciences and Research Centre, Bhopal, with chief complaint of abdominal pain with a history of amenorrhoea for 5 months with uterine broid. She is a known case of hypothyroidism. No other signicant history was elicited. Ultrasonography revealed a large subserous broid measuring 22.7 mm×22.8 mm×16.4 mm over the right posterior aspect of uterine fundus. Antenatal myomectomy was performed successfully without any complications, and pregnancy continued until 38 weeks when a caesarean section was performed. The literature states that surgical intervention is benecial in well-selected patients