Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Reprod Med. 2001 Mar;46(3):253-5.

Intramural leiomyoma during pregnancy becoming pedunculated postpartally. A case report.

Author information

  • 1Department of Obstetrics and Gynecology, St. John's Mercy Hospital, Washington, USA.

Abstract

BACKGROUND:

The natural history of uterine leiomyomas during pregnancy has been reported.

CASE:

A 39-year-old primigravida presented with vaginal spotting in the 10th week of pregnancy. Ultrasonic evaluation revealed a large intramural leiomyoma. Unsuccessful tocolysis at 25 weeks' gestation resulted in a cesarean section for breech presentation. At hysterotomy a 10-cm intramural leiomyoma was found in the right fundus and was left in situ. Six months later, at open laparotomy for myomectomy, the 10-cm leiomyoma was pedunculated, on a 4-cm stalk.

CONCLUSION:

Large intramural leiomyomas found at cesarean section may become pedunculated postpartally, thus making myomectomy easier and safer at a postpartum intervention than at the time of cesarean section. Also, prior knowledge of the possibility of myoma transformation from intramural to pedunculated postpartally may help in planning a later myomectomy. Myomectomy prior to pregnancy should be considered when it has caused a prior pregnancy complication.

PMID:
11304868
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk