Myomectomy During Pregnancy

Abstract

Introduction: Uterine fibroids, also known as myomas or leiomyomas are the most frequent benign tumors of the upper portion of the female genital tract. They can reach large size and generally do not require surgical treatment during pregnancy. The prevalence of myoma in pregnancy is unknown. Surgical management is reserved only for complicated myomas.
Objective: To report a case in which the myomectomy was performed to a large symptomatic suberose fibroid coexisting with a 21-week pregnancy, which is not frequent in medical practice.
Case report: A 41-year-old nulliparous patient, 21 weeks pregnant had compressive symptoms due to vomiting, digestive discomfort and intolerance to the supine position. She underwent myomectomy because she was affected by a large myoma. The patient evolved satisfactorily. She was followed up at prenatal consultations every 15 days until 39.6 weeks, when she had an elective caesarean section, resulting a newborn of good weight and Apgar.
Conclusions: Myomectomy during pregnancy is a safe and efficient surgical procedure with high success rates. Case discussion is essential and should be carried out by a multidisciplinary team, with proven experience in gynecological surgery.