Myomectomy after a vaginal delivery to treat postpartum hemorrhage resulting from an intracavitary leiomyoma

Obstetrics and Gynecology
Amanda M Tower, Beth Cronin

Abstract

Postpartum myomectomy is typically discouraged as a result of the risk of hemorrhage and longer operative times. However, myomectomy at the time of cesarean delivery or after a vaginal delivery is feasible and is sometimes necessary. A 38-year-old multiparous woman with a 9-cm pedunculated submucosal leiomyoma presented in labor and underwent a vacuum-assisted vaginal delivery with manual extraction of the placenta. In the immediate postpartum period she had bleeding and hemodynamic instability requiring blood transfusion. Examination under anesthesia demonstrated uterine atony and placental fragments adherent to the pedunculated leiomyoma. An abdominal myomectomy was performed, and the patient recovered normally. Although it should not be recommended routinely, postpartum myomectomy is feasible and can be life-saving, even after a vaginal delivery.

References

Jan 1, 1994·British Journal of Obstetrics and Gynaecology·T K ChungA I Stock
Jul 20, 2004·BMC Pregnancy and Childbirth·Ashley S Roman, Khalil MA Tabsh
Apr 9, 2008·American Journal of Obstetrics and Gynecology·Peter C KlatskyVictor Y Fujimoto
Feb 13, 2010·The Journal of Obstetrics and Gynaecology Research·Byung-Joon Park, Yong-Wook Kim
Oct 22, 2011·Postgraduate Medical Journal·Ahmed Zaima, Alok Ash
Mar 20, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Dianrong SongJie Guo

❮ Previous
Next ❯

Citations

Jun 23, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Radmila SparićAndrea Tinelli
Sep 12, 2017·The Journal of Obstetrics and Gynaecology Research·Giusi Natalia MilazzoDonatella Caserta
Apr 24, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Arlene D ParsonsKatherine L Dengler

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The New England Journal of Medicine
J F Jewett
Journal de radiologie
P Karila-CohenS Merran
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
G S Nelson, C Birch
© 2021 Meta ULC. All rights reserved