title: Huge fibroid (g. 3.000) removed during cesarean section with uterus preservation. A case report.
abstract: Removal of a giant fibroid during a caesarean section is very rare. We report a case of multiple myomectomy among which a huge myomas (cm 22, weight 3.000 g) in a 44 years old nullipara at 38 weeks. A 10 cm long suprapubic transversal incision according to Pfannenstiel on spinal anaesthesia was done; a female baby weighing 2.285 g, with Apgar score 9/10 was born. Owing to the uterine hypotonia following foetal extraction, myomectomy with womb preservation was carried out. Postoperative course was regular for mother and newborn too.
authors.affiliation: Obstetrics and Gynaecology Department, Catania University, Catania, Italy. vito.leanza@gmail.com
authors.forename: Vito
authors.initials: V
authors.lastname: Leanza
authors.forename: Simona
authors.initials: S
authors.lastname: Fichera
authors.forename: Gianluca
authors.initials: G
authors.lastname: Leanza
authors.forename: Matteo Angelo
authors.initials: MA
authors.lastname: Cannizzaro
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery; D009929:Organ Size; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology* / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery