Inevitable caesarean myomectomy; a case report

The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who...

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Bibliographic Details
Published in:Nigerian journal of medicine 2010-07, Vol.19 (3), p.329-331
Main Authors: Igwegbe, A O, Nwosu, B O, Ugboaja, J O, Monago, E N
Format: Article
Language:English
Subjects:
Adult
Cesarean Section
Female
Humans
Leiomyoma - pathology
Leiomyoma - surgery
Myometrium - surgery
Pregnancy
Pregnancy Complications, Neoplastic - pathology
Pregnancy Complications, Neoplastic - surgery
Pregnancy Outcome
Treatment Outcome
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
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Summary:The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery ensured minimal intra operative and post operative blood loss.
ISSN:1115-2613
1115-2613
DOI:10.4314/njm.v19i3.60236