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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
RIVERA-COYOTZI, Eleazar et al. Miomectomy during pregnancy: giant leiomyoma with degeneration. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.11, pp.898-904. Epub May 23, 2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v89i11.5533.
BACKGROUND:
Leiomyomas are the most common pelvic tumors, with multiple clinical presentations throughout a woman's life. It is unusual for them to appear during pregnancy and to merit surgical treatment, especially for acute abdomen secondary to degeneration.
OBJECTIVE:
To provide and expose the process of diagnosis, surgical treatment and obstetric outcome in a patient with a giant leiomyoma with pregnancy-associated degeneration.
CLINICAL CASE:
A 34-year-old primigravida patient, 22.1 weeks pregnant. She came to the emergency department with acute abdomen, fever and ventilatory impairment secondary to a giant leiomyoma that occupied the entire abdomen and compressed abdominal and thoracic structures. Due to the clinical deterioration, surgery was decided to remove the two fibroids: the larger one measuring 35 x 20 cm and weighing 9150 g. The postoperative evolution was favorable. The postoperative evolution was favorable as well as the prenatal control. The pregnancy was terminated by elective cesarean section at 38.1 weeks, without maternal or perinatal complications.
CONCLUSION:
Myomectomy during pregnancy is a safe procedure to reduce maternal and fetal morbidity and mortality in selected cases.
Keywords : Leiomyomas; Pelvic tumors; Pregnancy; Surgical; Myomectomy; Abdomen acute; Cesarean section; Pelvic neoplasms; Clinical deterioration.