Laparotomic myomectomy in the 16th week of pregnancy: a case report.
Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Lavinia
0000-0002-7518-8250
L
Domenici
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Violante
V
Di Donato
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Maria Luisa
ML
Gasparri
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Francesca
F
Lecce
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Jlenia
J
Caccetta
Department of Obstetrics, Gynecology and Urologic Sciences, "Sapienza" University, Viale Del Policlinico 155, 00155 Rome, Italy.
Pierluigi Benedetti
PB
Panici