Uterine leiomyomas during pregnancy – a case report
Journal Title: Ginekologia i Położnictwo medical project - Year 2016, Vol 1, Issue 39
Abstract
The paper presents a 37-year-old nullipara admitted as an emergency to the Obstetric and Gynecologic Ward of the Independent Public Health Care Facility in Kedzierzyn-Kozle in Poland for diagnosis and possible treatment of a tumor occupying the pelvis minor and abdominal cavity, the fundus of which reached the navel level. A transvaginal US examination revealed the presence of live intrauterine pregnancy; fetal CRL: 1.47 cm, i.e. 7 weeks and 6 days. Pelvic MRI demonstrated diffuse tumorous lesions within the abdominal cavity, hypogastric region and pelvis, probably corresponding to leiomyomas. One of them was located in a typical site within the uterine body, more to the right side. The other lesion was pedunculated and remained in little contact with the uterus. It showed features of decomposition and occupied a considerable area of the abdominal intraperitoneal space. Due to the size of these fibroids, their location and obstetric history, the patient was deemed eligible for abdominal myomectomy. The procedure was performed in the typical fashion. The patient was discharged on day 9 after the procedure with preserved live pregnancy. The course of pregnancy was uncomplicated until week 25. Then, premature contractile activity of the uterus was observed, and slight pain at the site of the scar was reported. The patient was hospitalized until week 37 of gestation. At week 37, pregnancy was concluded with a cesarean section. The patient delivered a boy weighing 2,730 g with the body length of 52 cm; Apgar scale 6.
Authors and Affiliations
Marta Kochanowicz, Jarosław Karoń, Ben Rhaiem Tahar
Keywords
Related Articles
- EP ID EP576803
- DOI -
- Views 161
- Downloads 0
Relationship of eating habits of pregnant women and daily delivery of nutrients as well as their influence on the course of pregnancy and condition of the neonate
Introduction. Early dietary exposure of pregnant women becomes the main determinant of normal fetal development and shapes health of future generations. A range of scientific evidence indicates that nutrition in pregnanc...
IGFBP-2 – an old and yet new factor in gestational diabetes mellitus
IGFBP-2 as part of theinsulin-like growth factor system has so far generatedsubstantial interest among researchers due to its participation in the process of carcinogenesis. At present,its vital role in maintaining prope...
Acupressure in dysmenorrhea – a pilot study
Introduction. The World Health Organization (WHO) classifies dysmenorrhea to conditions that can be effectively treated by acupressure, as proven in controlled clinical trials. The aim of the study was to evaluate the in...
Use of contraceptives among Polish universities students – preliminary study
Introduction. Today, the increased interest of related to human sexuality leads to better knowledge about using of different methods of contraception. Analyzing the results of research on a group of adults women, noted c...
Pregnancy of unknown location as a diagnostic challenge – case analysis
Introduction: Pregnancy of unknown localization (PUL) is a diagnostic challenge within the population of the patients with increased serum b-hCG as well as no ultrasonographic confirmation of an intrauterine nor extraute...