title: [Myoma and pregnancy: when medical treatment is not sufficient].
abstract: The leiomyoma is the most common benign uterine tumor in population of childbearing age women. We report a patient case with uterine myomas threatening the pregnancy continuation and causing a real problem of maternal tolerance. In presence of a 22 cm subserosal fibroma which is responsible of a severe abdominal pain syndrome resistant to level 3 analgesics, the use of surgical treatment was considered, even if current recommendations are for an optimal medical management. Myomectomy by laparotomy has been performed after 13 weeks of gestation.
authors.affiliation: Service de gynécologie-obstétrique, maternité Alix-de-Champagne, hôpital Maison-Blanche, CHU de Reims, 45 rue Cognacq-Jay, Reims cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Pelissier-Komorek
authors.forename: J
authors.initials: J
authors.lastname: Hamm
authors.forename: S
authors.initials: S
authors.lastname: Bonneau
authors.forename: E
authors.initials: E
authors.lastname: Derniaux
authors.forename: C
authors.initials: C
authors.lastname: Hoeffel-Fornes
authors.forename: O
authors.initials: O
authors.lastname: Graesslin
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000601:surgery*; D011256:Pregnancy Outcome; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*