title: Preoperative magnetic resonance imaging and antepartum myomectomy of a giant pedunculated leiomyoma.
abstract: BACKGROUND
  Antepartum myomectomy is reserved for severe pain and prevention of fetal complications. Magnetic resonance imaging has been useful in nonpregnant women for preoperative management and patient counseling.
  
  
  METHODS
  A primigravida was admitted at 12 weeks of gestation in severe acute abdominal pain with a large abdominal mass, confirmed by magnetic resonance imaging to be a pedunculated 30x27x19-cm uterine leiomyoma. An uncomplicated abdominal myomectomy was performed, incorporating a flat cup vacuum device to mobilize the mass without disturbing the gravid uterus. The patient later had an uncomplicated term vaginal delivery and healthy newborn.
  
  
  CONCLUSIONS
  Magnetic resonance imaging and a flat cup vacuum device were helpful in preoperative planning and performing an uncomplicated abdominal myomectomy during pregnancy, respectively.
authors.affiliation: Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, North Carolina, USA. mca3@musc.edu
authors.forename: Mark C
authors.initials: MC
authors.lastname: Alanis
authors.forename: Avick
authors.initials: A
authors.lastname: Mitra
authors.forename: Nikki
authors.initials: N
authors.lastname: Koklanaris
mesh_terms: D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology* / Q000601:surgery*; D011296:Prenatal Diagnosis; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*