Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

  • Iman Usman Haruna Department of Obstetrics and Gynaecology, Yusuf Maitama Sule University Kano, Mohammadu Abdullahi Wase Specialist Hospital, Kano, Nigeria.
  • Jamilu Tukur Department of Obstetrics and Gynaecology, Nigeria. https://orcid.org/0000-0002-1529-0448
  • Idris Usman Takai | takaiidris@yahoo.co.uk Department of Obstetrics and Gynaecology, Nigeria. https://orcid.org/0000-0003-0192-7054
  • Abdullahi Mustapha Miko Mohammed Department of Anaesthesia, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria. https://orcid.org/0000-0003-0949-4791
  • Ali Abdurrahman Bunawa Department of Obstetrics and Gynaecology, Yusuf Maitama Sule University Kano, Mohammadu Abdullahi Wase Specialist Hospital, Kano, Nigeria.

Abstract

Myomas are common in pregnancy and can go unnoticed. One in ten patients, however, develops complications that would necessitate their removal. Myomectomy performed at caesarian section had come to the lime light over the last decade and recent literature have shown its safety. There is still paucity of literature on myomectomy performed during pregnancy. Our case was a 25 years old primigravida at 21 weeks with features of acute abdomen secondary to uterine fibroid which was diagnosed during pregnancy. She subsequently had antepartum myomectomy and a live birth at term via caesarean section.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

References

Kwawukume EY. Caeserian myomectomy. Afr J Reprod Health 2003;7:125.

Alysha N, Patrick K, David S. Succesfull Antepartum myomectomy of a large pedunculated fibroid. J Gynecol Surg 2019;35:6

Milazzo GN, Catalano A, Badia V, et al. Myoma and myomectomy: Poor evidence concern in pregnancy. J Obstet Gynaecol Res 2017;43:1789-803. DOI: https://doi.org/10.1111/jog.13437

Brown D, Fletcher HM, Myrie MO, Reid M. Cesarean myomectomy-a safe procedure. A retrospective case controlled study. Obstet Gynecol 1999;19:139-140.

Ikedife D. Surgical challenge of myomectomy at cesarean section. Nigerian J Surg Sci 993;3:15-7.

Ehigiegba AE, Ande AB, Ojobo SI. Myomectomy during caesarean section. Int J Gynaecol Obstet 2001;75:21-5. DOI: https://doi.org/10.1016/S0020-7292(01)00452-0

Omole-Ohonsi A, Ashimi AO. Caesarean myomectomy in Kano, Northern Nigeria. Ibom Med J 2016;3:45 9

Shafiee MN, Nor Azlin MI, Arifuddin D. A Successful Antenatal Myomectomy. Malays Fam Physician 2012;7:42-5.

Zaima A, Ash A. Fibroid in pregnancy: characteristics, complications and management. Postgrad Med J 2011;87:819-28. DOI: https://doi.org/10.1136/postgradmedj-2011-130319

Isabui J, Okogbo F, Okunsanya S, Eifediyi R. Myomectomy during early pregnancy. Mil Med 2000;165:162-4. DOI: https://doi.org/10.1093/milmed/165.2.162

Jhalta P, Negi SG, Sharma V. Successful myomectomy in early pregnancy for a large asymptomatic uterine myoma: case report. Pan Afr Med J 2016;24:228. DOI: https://doi.org/10.11604/pamj.2016.24.228.9890

Adesiyun AG, Ameh AC, Ojabo A. Myomectomy at Caesarean Section: descriptive study of clinical outcome in tropical setting. J Ayub Med Coll Abbottabad 2009;21:7-9.

Adeyemi AS, Akinola SE, Isawumi AI. Antepartum myomectomy with a live term delivery: a case report. Nig J Clin Pract 2007;10:346-8.

Sabita S, Sunita S. Antepartum myomectomy: a possible procedure for successful outcome. Int J Reprod Contr Obst Gynecol 2014;3:6.

Hayder A. Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case. J Young Pharmacists 2015;7:4.

Karan S, Djavid I. Fibroids in pregnancy: Management and outcomes. 2018;20:3. DOI: https://doi.org/10.1111/tog.12491

Malani K, Jagtap S, Swaminathan G, Samant P. Caesarean Myomectomy. J Post Grad Gynaecol Obstet 2017;5:6.

Sparić R, Kadija S, Stefanović A, et al. Cesarean myomectomy in modern obstetrics: More light and fewer shadows. J Obstet Gynaecol Res 2017;43:798-804. DOI: https://doi.org/10.1111/jog.13294

Bhave N, Shah P, Chaudhari H. An unusual presentation of Degenerating Fibroid. Int J Reprod Contracept Obstet Gynecol 2016;5:582-4. DOI: https://doi.org/10.18203/2320-1770.ijrcog20160420

Akkurt Y, Yavuz A, Yalcin SE, et al. Can we consider caesarean myomectomy as a safe procedure without long-term outcome? J Matern Neonatal Med 2017;30:1855–60. DOI: https://doi.org/10.1080/14767058.2016.1228057

Kamal P, Bala R, Nagpal M, Kaur H. Caesarean myomectomy: Practical issues. Indian Jo Obstet Gynecol Res 2017;4:249-53.

Awoleke JO. Myomectomy during Caesarean Birth in Fibroid-Endemic, Low-Resource Settings. Obstet Gynecol Int 2013;2013:20-8. DOI: https://doi.org/10.1155/2013/520834

Chisara U, Paul F. Succesful myomectomy during pregnancy: A case report. Reproductive Health 2005;5:7-8

Rekha S, Munna L, Pushpalata S. Inevitable caesarean myomectomy and removal of fetus through same incision. Ann Tropical Med Public Health 2016;3:4-5.

Fanfani F, Rossitto C, Fagotti A, et al. Laparoscopic myomectomy at 25 weeks of pregnancy: case report. J Minim Invasive Gynecol 2011;17:91-3. DOI: https://doi.org/10.1016/j.jmig.2009.08.004

Published
2021-02-24
Info
Issue
Section
Case Reports
Keywords:
Uterine fibroid, antepartum myomectomy, term delivery
Statistics
  • Abstract views: 90

  • PDF: 38
How to Cite
Haruna, Iman Usman, Jamilu Tukur, Idris Usman Takai, Abdullahi Mustapha Miko Mohammed, and Ali Abdurrahman Bunawa. 2021. “Huge Symptomatic Pedunculated Uterine Fibroid in Pregnancy: Antepartum Myomectomy and Term Delivery at a Specialist Hospital in Kano, Nigeria”. Annals of African Medical Research 3 (2). https://doi.org/10.4081/aamr.2020.86.