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Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case

1, 1, 2★, 2, 2★ Corresponding author

  1. 1Al Karama Teaching hospital, Baghdad, IRAQ.
  2. 2Faculty of Medicine, Medical Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, MALAYSIA.

CORRESPONDENCE

Naghem Farouk Abed

Faculty of Medicine, Medical Campus, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, MALAYSIA.

naghamfa@yahoo.com

Volume 7, Issue 4 · pp. 399-402 · 2015 · DOI: 10.5530/jyp.2015.4.14

ABSTRACT

Myomectomy is a rare decision taken by O & G specialist in the management of uterine fibroids during pregnancy because hazardous outcome. Management of uterine fibroids during pregnancy is usually expectant making myomectomy a rather rare possibility. This is why surgical removal is generally delayed until after delivery. The current case was a large, symptomatic multiple uterine myomas causing pressure symptoms and was diagnosed during pregnancy by ultrasound and successfully managed by antepartum myomectomy retaining the fetus alive in utero at 18-20 weeks gestation. At term, the patient was delivered by Caesarian hysterectomy due to the presence of multiple myomas occupying the lower segment with placenta accrete, and uncontrolled blood loss from the placental bed. The patient remained uneventful in next 20 weeks follow-up. This case demonstrates the safety of myomectomy during pregnancy in special circumstances such as intestinal obstruction caused by external compression by a big fibroid.

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    Salih, H. A., Sarsam, R. I., Abed, N. F., Yassin, W. A. K., & Haque, M. (2015). Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case. Journal of Young Pharmacists, 7(4), 399-402. https://doi.org/10.5530/jyp.2015.4.14

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    © 2015 Author(s)

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. CC BY-NC-SA 4.0