title: Laparoscopic Excision of a Pedunculated Uterine Leiomyoma in Torsion as a Cause of Acute Abdomen at 10 Weeks of Pregnancy.
abstract: BACKGROUND
  Pregnancy outcomes after laparoscopic myomectomy are generally favorable, with a pregnancy rate that is comparable to or even higher than the rate associated with abdominal myomectomy. The purpose of this article is to present the case of a pregnant patient at 10 weeks of gestation who was submitted to successful laparoscopic myomectomy of a twisted pedunculated uterine leiomyoma.
  
  
  METHODS
  A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma. Subsequently laparoscopic myomectomy was successfully carried out.
  
  
  CONCLUSIONS
  Laparoscopic myomectomy is a technically challenging procedure with surgeon-specific limitations. Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery.
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Christophoros
authors.initials: C
authors.lastname: Kosmidis
authors.affiliation: Department of Obstetrics and Gynecologic Surgery, Papageorgiou Hospital, Aristotelian University of Thessaloniki (AUTh), Thessaloniki, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Pantos
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: Christopher
authors.initials: C
authors.lastname: Efthimiadis
authors.affiliation: Department of Surgical Residency, Obstetrics and Gynecology, Theageneio General Hospital of Thessaloniki, Thessaloniki, Greece.
authors.forename: Ioanna
authors.initials: I
authors.lastname: Gkoutziomitrou
authors.affiliation: Faculty of Medicine, Aristotelian University of Thessaloniki (AUTh), Thessaloniki, Greece.
authors.forename: Eleni
authors.initials: E
authors.lastname: Georgakoudi
authors.affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Anthimidis
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery*; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*