A case report on large uterine fibroids in pregnancy with successful caesarean myomectomy

Abstract

Uterine fibroids are benign tumors that commonly affect the female reproductive system. They are observed in approximately 0.1% to 10.7% of pregnancies, with their frequency increasing as maternal age advances. Although many pregnancies with fibroids progress without issues, complications can occur in about 10% to 40% of cases. These may include pelvic or abdominal discomfort, pregnancy loss, intrauterine growth restriction, abnormal fetal positioning, premature birth, placental abruption, prelabour rupture of membranes, increased likelihood of caesarean section, postpartum hemorrhage. Here we present a case of 30 years old primigravida with fibroid complicating pregnancy who had preterm delivery at 34+3 weeks. She was on regular antenatal follow up. On early pregnancy scan she was found to have multiple fibroid uterus with largest in the left adnexa-subserosal pedunculated. She had multiple Inpatient admissions for pelvic pain during her second and third trimester. She was admitted in view of preterm labour and undergone emergency lower segment caesarean section in view of multiple fibroid complicating pregnancy with cervical dystocia. Intraoperatively-multiple fibroid uterus. Caesarean myomectomy done. Postoperative period uneventful.