Myomectomy During Early Pregnancy

Abstract

Myoma is a common benign uterine tumor; therefore
it is common in pregnancy. One in ten women will
have complications related to myoma in pregnancy.
Few treatment options are available during pregnancy,
conservative treatment with analgesia, reassurance and
supportive therapy is almost always adequate but in
carefully selected patients, myomectomy has been
performed successfully without jeopardizing
pregnancy outcome. The usual indications for surgery
during pregnancy include torsion of pedunculated
uterine myoma and obstructed labor, surgical
intervention during pregnancy is occasionally
necessary in uncommon cases of intractable pain.
19 years old lady presented with intractable lower
abdominal pain during pregnancy. Ultrasound showed
fetus of 18 weeks gestation and ovarian cyst. The pain
did not respond to rest and sedation, so emergency
exploration laparotomy was done; incarcerated
intramural uterine myoma was the cause of the pain, it
was enucleated successfully through myomectomy
and the pregnancy progressed normally