title: Inevitable caesarean myomectomy; a case report.
abstract: The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery ensured minimal intra operative and post operative blood loss.
authors.affiliation: Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, P.M.B. 5025, Nnewi. Tigwegbe@yahoo.com
authors.forename: A O
authors.initials: AO
authors.lastname: Igwegbe
authors.forename: B O
authors.initials: BO
authors.lastname: Nwosu
authors.forename: J O
authors.initials: JO
authors.lastname: Ugboaja
authors.forename: E N
authors.initials: EN
authors.lastname: Monago
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D009215:Myometrium / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*