• Users Online: 308
  • Print this page
  • Email this page
Year : 2017  |  Volume : 26  |  Issue : 2  |  Page : 185-187

Emergency inevitable caesarean myomectomy, challenge to obstetrician/ gynaecologist: A case report

1 Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria
2 Department of Obstetrics and Gynaecology, Braithwaite Memorial Specialist Hospital, Nigeria

Correspondence Address:
S Eli
Dept. of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1115-2613.278294

Rights and Permissions

BACKGROUND: Caesarean myomectomy is not routinely done by Obstetricians/Gynaecologists due to associated complications and increased risk of maternal morbidity/mortality.The incidence of fibroid in pregnancy varies from 1.6% to 10.7% globally. AIM: To present an uncommon management modality. +0 CASE REPORT: Mrs BD is a 34-year-old unbooked G1 Para 0+0 at 3 weeks' gestation who presented on selfreferral from a maternity with complaints of increasing abdominal pain and breathlessness of 1day duration. Examination at presentation revealed fundal height of 44cm, intra-abdominal mass consistent with huge uterine fibroid extending from the fundus to the lower segment, oblique-lying foetus with normal heart tones. Obstetric ultrasound done on admission were in keeping with above clinical findings with uterine fibroid measuring 22cm by 20cm. She was billed for elective caesarean section but went into labour which necessitated an emergency caesarean section with delivery of a live male baby, birth weight 3.2kg and myomectomy for uterine fibroid at the lower uterine.The estimated blood los was 800mls,She had a unit of blood intra-operatively. Her post-operative period was uneventful. She was counselled on the extent of the surgery including her future fertility and family planning.She was discharged home on her 7th post-operative day in satisfactory clinical condition. CONCLUSION: Caesarean myomectomy may be a hazardous surgical procedure to the attending Obstetrician/Gynaecologist. However,adequate pre-operative preparation,the skill and speed of the surgeon may help improve maternal /perinatal outcome.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded75    
    Comments [Add]    

Recommend this journal