medigraphic.com
ISSN 1608-8921 (Print)

2012, Number 1

<< Back Next >>

Gaceta Médica Espirituana 2012; 14 (1)

Uterine fibroma and pregnancy. Presentation of a case

Morales RA, Moreno BO, Ramírez RM, Alberto RY

Language: Spanish
References: 16
Page:
PDF size: 214.83 Kb.


ABSTRACT

Background: Uterine fibromas, also known as myomas or leiomyomas are the most common benign tumors of the upper female genital tract, can become large, grow slowly and usually require no treatment. Case report: A 33 year-old-patient with six weeks of pregnancy who begins to show dark spots of blood and lower abdomen pain. An 180 mm myoma highly vascular with a thick pedicle was detected by ultrasonography and laparoscopy. It was decided to perform myomectomy with the consent of the patient. Conclusions: The patient progressed succesfully and attended prenatal visits every 15 days up to 39.6 weeks, when she had an elective caesarean section.


REFERENCES

  1. Lee K, Khan-Dawood F, YusoffM. Oxytocin receptor and its messenger ribonucleic acid inhuman leiomyoma and myometrium. Am J Obstet Gynecol. 1998 Sep;179(3 Pt 1):620-7. Available from: http://preview.ncbi.nlm.nih.gov/pubmed/9757961

  2. Gross K, Morton C. Genetics and the development of fibroids. Clin Obstet Gynecol. 2001 Jun;44(2):335-49. Available from: http://journals.lww.com/clinicalobgyn/Citation/2001/06000/Genetics_and_the_Development_of_Fibroids.20.aspx

  3. Stovall D. Clinical syntomatology of uterine leiomyomas. Clin Obstet Gynecol. 2001 Jun;44(2):364-71. Available from: http://journals.lww.com/clinicalobgyn/Citation/2001/06000/Clinical_Symptomatology_of_Uterine_Leiomyomas.22.aspx

  4. Briceño Pérez C, Alafla F, Atencio de Ávila D, Bethancourt de Benítez C, Schloeter L, Portillo B, et al. Grandes miomas uterinos. Rev Obstet Ginecol Venez. 2001; 61:35-42.

  5. Coronado G, Marshall L, Schwartz S. Complications of pregnancy, labor, and delivery with uterine leiomyomas: A population based study. Obstet Gynecol. 2000 May;95(5):764-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10775744

  6. Guarnaccia M, Rein M. Traditional surgical approaches to uterine fibroids: Abdominal myomectomy and hysterectomy. Clin Obstet Gynecol. 2001 Jun;44(2):385-400. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11345000

  7. Cooper NP, Okolo S. Fibroids in pregnancy, common but poorly understood. Obstet Gynecol Surv. 2005 Feb;60(2):132-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15671902

  8. Ouyang DW, Norwitz ER. Obstetric complications of fibroids. Obstet Gynecol Clin North Am. 2006 Mar;33(1):153-69. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16504813

  9. Benson C.B, Chow J.S, Chang-Lee W, Hill J.A ,Doubilet PM. Outcome of pregnancys in women with uterine leiomyomas identified by sonography in the first trimester. J Clin Ultrasound. 2001 Jun;29(5):261-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11486319

  10. Neiger R, Sonek JD, Croom CS, Ventolini G. Pregnancy related changes in the size of uterine leiomyomas. J Reprod Med. 2001 Jun;29(5):261-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11486319

  11. Bonito M, Gulemì L, Basili R, Roselli D. Myomectomy during the first and second trimester of pregnancy. Clin Exp Obstet Gynecol. 2007; 34(3):149-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17937088

  12. 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 Apr; 198(4):357-66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18395031

  13. Bhatla N, Dash BB, Kriplani A, Agarwal N. Myomectomy during pregnancy: a feasible option. J Obstet Gynaecol Res. 2009 Feb; 35(1):173-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19215567

  14. Kelly BA, Bright P, Mackenzie IZ. Does the surgical approach used for myomectomy influence the morbidity in subsequent pregnancy? J Obstet Gynaecol. 2008Jan; 28(1):77-81. Available from: http://informahealthcare.com/doi/abs/10.1080/01443610701811738

  15. Gojnic M, Pervulov M, Petkovic S, Papic M, Jeremic K, Mostic. Indication of myomectomy during pregnancy from Doppler ultrasonography. Clin Exp Obstet Gynecol. 2004; 31(3):197-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15491063

  16. Ouyang DW, Economy KE, Norwitz ER. Obstetric complications of fibroids. Obstet Gynecol Clin North Am. 2006 Mar; 33(1):153-69. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16504813




2020     |     www.medigraphic.com