Giant leiomyoma management during elective cesarean section: a case report.
Cesarean myomectomy
case report
leiomyoma
uterus exteriorization
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2023
2023
Historique:
received:
19
02
2023
accepted:
04
05
2023
medline:
5
9
2023
pubmed:
4
9
2023
entrez:
4
9
2023
Statut:
epublish
Résumé
We present the unique case of a 44-year-old gravida 3 para 2 woman with complaints of monolateral perception of fetal movements who underwent elective cesarean section and hysterectomy for the presence of an exceptionally voluminous infralegamentary leiomyoma. Cesarean section required in-depth preoperative planning and was possible only after gravid uterus exteriorization. Myomectomy and hysterectomy were then necessary to reestablish the physio-anatomical pelvic environment. The patient was discharged after regular and uncomplicated postoperative time. In recent years, the paradigma of avoiding cesarean myomectomy due to fear of hemorrhage has been questioned by many authors and in certain cases cesarean myomectomy may even be undeferrable. We describe an innovative surgical technique which could be useful to obstetricians approaching similar uterine masses during cesarean sections.
Identifiants
pubmed: 37663633
doi: 10.11604/pamj.2023.45.73.39357
pii: PAMJ-45-73
pmc: PMC10474799
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
73Informations de copyright
Copyright: Ottavio Cassardo et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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