Three dimensional ultrasound- its use in defining and prognosticating fibroid associated with pregnancy: one picture is worth more than a thousand words

Authors

  • Aarti Deenadayal Tolani Department of Reproductive Medicine, Infertility Institute and Research Centre, Shenoy Hospitals, Hyderabad, Telangana, India
  • Suhasini Donthi Department of Reproductive Medicine, Infertility Institute and Research Centre, Shenoy Hospitals, Hyderabad, Telangana, India
  • Kadambari . Department of Obstetrics and Gynecology, Infertility Institute and Research Centre, Shenoy Hospitals, Hyderabad, Telangana, India
  • Mamata Deenadayal Department of Reproductive Medicine, Infertility Institute and Research Centre, Shenoy Hospitals, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20181954

Keywords:

Intramural fibroid, Gestational sac, Three-dimensional ultrasound, Trans vaginal

Abstract

Uterine fibroids are most frequent benign growths occur in female reproductive age with the frequency of 20-40%. The fibroid incidence in pregnancy estimated to be 0.1 to 3.9%. They affect the female fertility and embryo implantation rates after the assisted reproductive treatments. Although most of the uterine myomas are asymptomatic during pregnancy, seldom they lead to the various complications that harm the pregnancy. Henceforth it is advisable to diagnose the uterine myomas at early stages. Three-dimensional ultrasonography is excellent equipment producing high-resolution images in different panels. It is easily accessible, cost-effective and offers benefits for early diagnosis of uterine anomalies. In this case report, we emphasized on the early diagnosis of the uterine fibroid associated pregnancy that enabled the physician to manage the pregnancy without complications.

References

Vitale SG, Tropea A, Rossetti D, Carnelli M, Cianci A. Management of uterine leiomyomas in pregnancy: review of literature. Updates Surg. 2013; 65:179-82.

Flake GP, Andersen J, Dixon D. Etiology and pathogenesis of uterine leiomyomas: a review. Environ Health Perspect. 2003;111:1037-54.

Vollenhoven BJ, Lawrence AS, Healy DL. Uterine fibroids: a clinical review. Br J Obstet Gynaecol. 1990; 97:285-98.

Cicinelli E, Romano F, Anastasio PS, Blasi N, Parisi C, Galantino P. Transabdominal sonohysterography, transvaginal sonography, and hysteroscopy in the evaluation of submucous myomas. Obstet Gynecol. 1995;85:42-7.

Fleischer AC. Color Doppler sonography of uterine disorders. Ultrasound Q. 2003;19:179-89.

Rice JP, Kay HH, Mahony BS. The clinical significance of uterine leiomyomas in pregnancy. Am J Obstet Gynecol. 1989;160:1212-6.

Benson CB, Chow JS, Chang-Lee W, Hill JA 3rd, Doubilet PM. Outcome of pregnancies in women with uterine leiomyomas identified by sonography in the first trimester. J Clin Ultrasound. 2001 Jun; 29:261-4.

Klatsky PC, Tran ND, Caughey AB, Fujimoto VY. Fibroids and reproductive outcomes: a systematic literature review from conception to delivery. Am J Obstet Gynecol. 2008;198:357-66.

Casini ML, Rossi F, Agostini R, Unfer V. Effects of the position of fibroids on fertility. Gynecol Endocrinol. 2006;22:106-9.

Goldenberg M, Sivan E, Sharabi Z, Bider D, Rabinovici J, Seidman DS. Outcome of hysteroscopic resection of submucous myomas for infertility. Fertil Steril. 1995;64:714-6.

Bernard G, Darai E, Poncelet C, Benifla JL, Madelenat P. Fertility after hysteroscopic myomectomy: effect of intramural myomas associated. Eur J Obstet Gynecol Reprod Biol. 2000;88:85-90.

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Published

2018-04-28

Issue

Section

Case Reports