Reach Us +447480721009


Successful Second Trimester Myomectomy in a Critically Ill Patient

Uterine leiomyomas (myomas) poses antenatal, intrapartum and postnatal risks, including pregnancy loss, preterm delivery, antepartum and postpartum haemorrhage, abnormal placental implantation, fetal malpresentation, mechanical dystocia and need for caesarean section.

Though traditionally contraindicated due to their risk of pregnancy loss and massive haemorrhage, antenatal myomectomies have been shown to be beneficial in selected cases in more recent studies.

We present a case of a patient who underwent a successful open subserosal myomectomy at 24 weeks gestation for worsening pelvic pain and subacute bowel obstruction. Following a turbulent post-operative phase and admission to the critical care unit, the pregnancy continued without further complications. At 38 weeks gestation, the patient underwent an uncomplicated elective caesarean section.


Farshad Tahmasebi, Mridula Morje, Alice Hurrell, Charles Gallaher and Bashir Dawlatly

Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+
Flyer image

Abstracted/Indexed in

  • Index Copernicus
  • China National Knowledge Infrastructure (CNKI)
  • WorldCat
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs