title: [Previa uterine leiomyoma: a rare case of bowel obstruction during pregnancy].
abstract: We report the case of a massive posterior leiomyoma leading to a bowel acute obstruction and an obstructive renal failure in a 33 years old primigest woman during pregnancy. The patient underwent a urinal and an intestinal derivation during de second trimester of pregnancy as a conservative management. End of pregnancy was uneventful and she gave birth to an healthy boy (2345g) at term, by cesarean section for praevia leiomyoma. The myoma was removed 6 weeks after delivery with restoration of digestive continuity in the same time. This case report shows the morbidity of 10cm and larger leiomyoma during pregnancy.
authors.affiliation: Service de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU Toulouse, 31059 Toulouse cedex 9, France.
authors.forename: E
authors.initials: E
authors.lastname: Brazet
authors.affiliation: Service de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU Toulouse, 31059 Toulouse cedex 9, France.
authors.forename: A
authors.initials: A
authors.lastname: Ghassani
authors.affiliation: Service de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU Toulouse, 31059 Toulouse cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Voglimacci
authors.affiliation: Hôpital Purpan-pavillon Dieulafoy, CHU Toulouse, chirurgie générale et digestive, place du docteur Joseph-Baylac, 31059 Toulouse, France.
authors.forename: M
authors.initials: M
authors.lastname: Chalret Du Rieu
authors.affiliation: Hôpital Purpan-pavillon Dieulafoy, CHU Toulouse, hépato-gastro-entérologie, place du docteur Joseph-Baylac, 31059 Toulouse, France; Université de Toulouse III, UMR1027, 31073 Toulouse, France.
authors.forename: P
authors.initials: P
authors.lastname: Berlioux
authors.affiliation: Service de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU Toulouse, 31059 Toulouse cedex 9, France; Université de Toulouse III, UMR1027, 31073 Toulouse, France; Inserm, UMR1027, 31073 Toulouse, France. Electronic address: olivier.parant@wanadoo.fr.
authors.forename: O
authors.initials: O
authors.lastname: Parant
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008297:Male; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D051437:Renal Insufficiency / Q000209:etiology* / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery
keywords: Fibrome prævia; Grossesse; Intestinal obstruction; Leiomyoma previa; Myomectomie; Myomectomy; Occlusion digestive; Pregnancy