| Intramural leiomyoma during pregnancy becoming pedunculated postpartally. A case report. | |
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MedLine Citation:
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PMID: 11304868 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R D Haskins; C J Haskins; R Gilmore; M A Borel; P Mancuso |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 46 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-04-17 Completed Date: 2001-08-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 253-5 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, St. John's Mercy Hospital, Washington, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section Female Humans Leiomyoma / pathology*, surgery Postpartum Period* Pregnancy Pregnancy Complications, Neoplastic / pathology*, surgery Time Factors Uterine Neoplasms / pathology*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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