Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks' Gestation with Systematic Review of the Literature

Case Reports in Obstetrics and Gynecology
Annachiara BassoSalvatore Andrea Mastrolia

Abstract

Uterine myomas are the most common benign growths affecting female reproductive system, occurring in 20-40% of women, whereas the incidence rate in pregnancy is estimated from 0.1 to 3.9%. The lower incidence in pregnancy is due to the association with infertility and low pregnancy rates and implantation rates after in vitro fertilization treatment. Uterine myomas, usually, are asymptomatic during pregnancy. However, occasionally, pedunculated fibroids torsion or other superimposed complications may cause acute abdominal pain. There are many controversies in performing myomectomy during cesarean section because of the risk of hemorrhage. Nevertheless, the majority of indication arises before labor and delivery due to acute symptoms leading to a discussion regarding the need for intervention during pregnancy. Therefore, we present a case of successful multiple laparotomic myomectomy at 17 + 2 weeks of gestational age and a systematic review of the literature in order to clarify the approach to this pathologic condition and its effect on pregnancy outcome.

References

Jul 1, 1995·Human Reproduction·S P MichalasJ S Papageorgiou
Aug 1, 1995·The Journal of the American Association of Gynecologic Laparoscopists·M A PelosiS Giblin
Feb 15, 2001·Fetal Diagnosis and Therapy·S De CarolisA Caruso
Feb 15, 2002·Fetal Diagnosis and Therapy·U HasbargenH Hepp
Apr 19, 2002·Gynecologic and Obstetric Investigation·Cetin CelikCemalettin Akyürek
Sep 7, 2002·Fertility and Sterility·Jacques DonnezJean Squifflet
Jul 23, 2003·Human Reproduction·D E LolisE A Paraskevaidis
Jan 1, 1997·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M MajidL M Wei
Jul 23, 2005·Journal of Minimally Invasive Gynecology·Luigi MelgratiFrancesco Sesti
Aug 18, 2005·Reproductive Health·Chisara Umezurike, Paul Feyi-Waboso
Jun 7, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·L Dracea, D Codreanu
Apr 25, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·F UsifoB Onwuzurike
Sep 27, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J E N Okonkwo, G O Udigwe
Feb 2, 2008·Obstetrics and Gynecology·Mark C AlanisNikki Koklanaris
Feb 14, 2009·The Journal of Obstetrics and Gynaecology Research·Neerja BhatlaNutan Agarwal
Feb 5, 2010·Journal of Minimally Invasive Gynecology·Francesco FanfaniGiovanni Scambia
Dec 16, 1899·British Medical Journal·H M Evans
Mar 10, 1906·British Medical Journal·J Stewart
Feb 2, 2011·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C E SonS S Seo
Jun 21, 2011·Archives of Gynecology and Obstetrics·V LozzaC Penna
Nov 8, 2011·Journal of Medical Case Reports·Mario ArdovinoLuigi Cobellis
Nov 18, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·A Pelissier-KomorekO Graesslin
Mar 7, 2012·JRSM Short Reports·Sr Doerga-BachasinghMha van Hooff
Jul 4, 2012·Archives of Gynecology and Obstetrics·Antonio MacciòAnna Maria Paoletti
Aug 1, 2012·The Journal of Obstetrics and Gynaecology Research·Fumimasa KobayashiIkuo Konishi
Jan 31, 2013·Updates in Surgery·Salvatore Giovanni VitaleAntonio Cianci
Jan 9, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Andrew CurriePeter D Willson
Apr 10, 2014·Case Reports in Obstetrics and Gynecology·Lavinia DomeniciPierluigi Benedetti Panici
Jul 18, 2014·AJP Reports·Mikitaka ObaraYasushi Shimizu
Dec 17, 2014·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Carlo SaccardiSalvatore Gizzo
Aug 1, 2015·The American Journal of Case Reports·Christophoros KosmidisGeorge Anthimidis
Nov 2, 2016·The Pan African Medical Journal·Pawan JhaltaVikas Sharma

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Citations

Nov 24, 2020·Case Reports in Obstetrics and Gynecology·Edu Eyong, Okon A Okon
May 15, 2021·Minerva Obstetrics and Gynecology·Giuseppe LoverroEdoardo Dinaro

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Methods Mentioned

BETA
hysterectomy
cesarean section
dissection

Software Mentioned

Scopus

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