Document Detail

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

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