Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks’ Gestation with Systematic Review of the Literature

Basso, A.; Catalano, Mariana; Loverro, Giuseppe; Nocera, S.; Naro, Edoardo Di; Loverro, Matteo; Natrella, Mariateresa; Mastrolia, Salvatore Andrea

doi:10.1155/2017/4970802

Cited by 25 publications

(26 citation statements)

References 47 publications

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“…However, in the presence of intractable symptoms, some patients have been offered termination of pregnancy [ 8 ]. Alternatively, both antepartum myomectomy [ 8 – 10 ] and caesarean myomectomy [ 11 – 15 ] have been done successfully in carefully selected cases.…”

Section: Introductionmentioning

confidence: 99%

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Eyong

Okon

2020

Case Reports in Obstetrics and Gynecology

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Uterine fibroid is the commonest benign tumour of the female reproductive tract. It occurs in 20–40% of women, whereas the estimated incidence in pregnancy is 0.1–3.9%. Uterine fibroid in pregnancy is usually asymptomatic with complications occurring in 10–30% of cases. The first line of management is conservative with counselling for myomectomy after delivery. However, in the presence of intractable symptoms, both antepartum myomectomy and caesarean myomectomy have been reported to be successfully performed in carefully selected cases. We report a case of large subserous uterine fibroid in pregnancy that was referred to our centre at 14 weeks of gestation. She developed generalized body weakness, backache, and breathlessness at 27 weeks gestation. Thus, she was admitted and managed conservatively for eight weeks with significant relief of symptoms. She eventually had a caesarean myomectomy at 35 weeks of gestation; the outcome was a live female baby with a birth weight of 2.3 kg and a large subserous fibroid weighing 9.5 kg. We can therefore say that caesarean myomectomy can be safely performed in carefully selected cases.

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Section: Introductionmentioning

confidence: 99%

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Eyong

Okon

2020

Case Reports in Obstetrics and Gynecology

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“…Till date, the incidence or prevalence of pedunculated subserosal myoma during gestation is unknown. Available data stem from some few published case reports [14, 18–20]. The existence of a pedunculated fibroid is the primary requisite for its torsion [16].…”

Section: Discussionmentioning

confidence: 99%

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

Dohbit

Meka

Tochie

et al. 2019

BMC Pregnancy Childbirth

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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.

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“…Myoma and pregnancy have adverse effects on each other, and the most serious effect is uterine torsion. [3][4][5] A study by Huang et al 6 revealed that the occurrence of uterine torsion in the third trimester of pregnancy may be correlated with an abnormal fetal position, older maternal age, and uterine ligament relaxation.…”

Section: Causes Of Uterine Torsion During Gestationmentioning

confidence: 99%

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

et al. 2020

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This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.

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Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks’ Gestation with Systematic Review of the Literature

Cited by 25 publications

References 47 publications

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

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

Clinical analysis of uterine torsion and fibroids in full-term pregnancy: A case report and review of the literature

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