Laparotomic Myomectomy in the 16th Week of Pregnancy : A Case Report

Abstract EN

Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy.

In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach.

We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy.

A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL).

Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis.

Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed.

Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.