Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: a case report

Dohbit, Julius Sama; Meka, Esther Ngo Um; Tochie, Joël Noutakdie; Kamla, Igor; Danwang, Célestin; Tianyi, Frank-Leonel; Foumane, Pascal; Andze, G

doi:10.1186/s12884-018-2154-x

Cited by 10 publications

(7 citation statements)

References 19 publications

(24 reference statements)

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“…Most fibroids are asymptomatic; usually asymptomatic in pregnancy but may interfere with conception and may cause spontaneous abortion, missed abortions, painful red degeneration or infarction of the fibroids, abnormal foetal presentation, obstructed labour, and an increased likelihood of premature deliveries, caesarean deliveries, postpartum haemorrhage and, whereas, in the non-pregnant state its signs and symptoms are menorrhagia, metorrhagia, menometorrhagia, infertility, constipation, urinary incontinence, and leiosarcoma transformation [3]. Uterine fibroids can occur in the non-pregnant woman and then continue into pregnancy/may develop de novo in pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Physiopathology and Management of Uterine Fibroids

Tochie¹,

Badjang²,

Ayissi³

et al. 2021

Fibroids

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Uterine fibroid is the most encountered benign tumour in women of reproductive age. It causes spontaneous abortions, missed abortions, painful red degeneration or infarction of the fibroids, abnormal foetal presentation, obstructed labour, and an increased likelihood of premature deliveries, caesarean deliveries, postpartum haemorrhage in pregnancy, whereas, in the non-pregnant women it is associated an irregular menstrual cycle sometimes associated with heavy menstrual bleeding, infertility, constipation, urinary incontinence, and leiosarcoma transformation. Till date is pathophysiology and management both in the non-pregnant and pregnant woman have not been well described. In this chapter, we present contemporary evidence to help elucidate this enigma.

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Section: Introductionmentioning

confidence: 99%

Physiopathology and Management of Uterine Fibroids

Tochie¹,

Badjang²,

Ayissi³

et al. 2021

Fibroids

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“…Therefore, we report an exceptional case with only less than 30 reports of pregnancy strangulation reported in the literature, of which less than 10 cases of pregnancy strangulation at the umbilical level [ 4 ]. Also, given that digestive strangulation during pregnancy was rarely reported [ 15 ] and that certain obstetric differential diagnoses must be eliminated [ 3 ], we discussed the case in multidisciplinary consultation.…”

Section: Discussionmentioning

confidence: 99%

“…Visceral emergencies during pregnancy are a frequent reason for consultation [ 1 ]. While the clinical particularity of a pregnant woman considers the physiological changes and the transformation of the anatomical reference points [ 2 ], the management of any affections must call upon eliminating the obstetrical origin in first place [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Strangled gravidic uterus, an exceptional complication of umbilical hernia during pregnancy, a case report

Jabi

Elmir

Saoud

et al. 2021

Annals of Medicine and Surgery

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Introduction Strangulated pregnancy is a very rare presentation in which the intra umbilical strangulated form is exceptional. To our knowledge, we report the first Moroccan case and one of less than 10 cases published in the literature of a strangulated gravid uterus; in a woman admitted for treatment of umbilical pain. Case presentation Through this presentation, we report a sporadic case of hernial strangulation during pregnancy containing an evolving pregnancy in the umbilical harness bag. The suspicion of this diagnosis was clinical and the confirmation made by ultrasound and abdominal MRI for confirmation. The objectives of this publication are threefold: i), to report this new exceptional case ii), to highlight the place of imaging in the management of hernial pathology iii), and to recommend surgical treatment of umbilical hernias in women of childbearing age in order to avoid surgical complications and maternal and fetal morbidity and mortality. Conclusion Our case report shows that we should consider this very rare presentation of strangulated pregnancy. Our work also reports another new case to the poor published literature on this subject and emphasizes the importance of surgical management of parietal pathology by focusing on the parietal impact of physiological change during pregnancy.

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“…"Red degeneration" is the most common type of degeneration during pregnancy. This kind of degeneration occurs when the rapid growth of leiomyomas exceeds blood supply with consequent bleeding [59]. On US, small leiomyomas are usually homogeneous, while those with a diameter greater than 3 cm tend to be heterogeneous (Figure 5).…”

Section: Uterine Leiomyomamentioning

confidence: 99%

Role of Ultrasound in the Assessment and Differential Diagnosis of Pelvic Pain in Pregnancy

et al. 2022

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Pelvic pain (PP) is common in pregnant women and can be caused by several diseases, including obstetrics, gynaecological, gastrointestinal, genitourinary, and vascular disorders. Timely and accurate diagnosis as well as prompt treatment are crucial for the well-being of the mother and foetus. However, these are very challenging. It should be considered that the physiological changes occurring during pregnancy may confuse the diagnosis. In this setting, ultrasound (US) represents the first-line imaging technique since it is readily and widely available and does not use ionizing radiations. In some cases, US may be conclusive for the diagnosis (e.g., if it detects no foetal cardiac activity in suspected spontaneous abortion; if it shows an extrauterine gestational sac in suspected ectopic pregnancy; or if it reveals a dilated, aperistaltic, and blind-ending tubular structure arising from the cecum in suspicious of acute appendicitis). Magnetic resonance imaging (MRI), overcoming some limits of US, represents the second-line imaging technique when an US is negative or inconclusive, to detect the cause of bowel obstruction, or to characterize adnexal masses.

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Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: a case report

Cited by 10 publications

References 19 publications

Physiopathology and Management of Uterine Fibroids

Physiopathology and Management of Uterine Fibroids

Strangled gravidic uterus, an exceptional complication of umbilical hernia during pregnancy, a case report

Role of Ultrasound in the Assessment and Differential Diagnosis of Pelvic Pain in Pregnancy

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