Successful enucleation of a necrotizing fibroid causing oligohydramnios and fetal postural deformity in the 25th week of gestation. A case report.
BACKGROUND
In approximately 2% of pregnancies, uterine fibroids are detected. In 10% of diagnosed cases some complications are to be expected during pregnancy and/or delivery.


METHODS
A 32-year-old woman presented in the 25th week of gestation with a fibroid causing oligohydramnios and fetal postural deformity. A laparotomy and conservative myomectomy were performed with the hope of preserving the pregnancy. Ultrasound examinations performed postoperatively showed that the fetal postural deformity had ended and that the pace of fetal development had returned to normal. A healthy, male newborn weighing 3,600 g was born in the 40th week of gestation via cesarean section.


CONCLUSIONS
The medical literature generally agrees upon conservative therapy; however, there are indications for laparotomy performed during the course of pregnancy complicated by a fibroid. In this case the fetal postural deformity, retardation in development and oligohydramnios, recognized preoperatively, provided indications for laparotomy. The success of the operation was established by postoperative sonography, which showed cessation of the fetal postural deformity and registered a normal volume of amniotic fluid.
Joó
J G
JG
1st Department of Obstetrics and Gynecology, Semmelweis University Medical School, Baross utca 27, H-1088 Budapest, Hungary.
Inovay
J
J
Silhavy
M
M
Papp
Z
Z
D000328:Adult; D000013:Congenital Abnormalities / Q000517:prevention & control; D005314:Embryonic and Fetal Development; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology*; D006801:Humans; D007813:Laparotomy; D007889:Leiomyoma / Q000150:complications* / Q000601:surgery*; D016104:Oligohydramnios / Q000209:etiology*; D011187:Posture; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D016216:Ultrasonography, Prenatal; D014594:Uterine Neoplasms / Q000150:complications* / Q000601:surgery*