title: Obstetric performance of a patient with multiple uterine and cervical fibroids and expectant management of retained placenta.
abstract: The aim of this case report is to describe the obstetric performance of a patient with multiple uterine and supravaginal cervical fibroids. A 36-year-old, gravida 3 para 0+2 with multiple uterine and cervical fibroids presented with inevitable abortion at 17 weeks gestation. She had a spontaneous rupture of membranes followed by expulsion of fetus as breech with entrapment of aftercoming head by a cervical fibroid. Oxytocin infusion and digital traction were able to deliver the fetus. The placenta, however, was trapped in the fundal area and could not be delivered under general anesthesia because of mechanical obstruction by the fibroid. Expectant management was successful in expulsion of the placenta within 7 days without complication.
authors.affiliation: Department of Obstetrics & Gynecology (#1216), King Fahad National Guard Hospital, PO Box 22490, Riyadh 11426, Kingdom of Saudi Arabia.
authors.forename: Mahfuza H
authors.initials: MH
authors.lastname: Begum
authors.forename: Mohamed S
authors.initials: MS
authors.lastname: Mustafa
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology; D000328:Adult; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D018457:Placenta, Retained / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D014594:Uterine Neoplasms / Q000150:complications*