Medical abortion in women with large uterine fibroids: a case series

Contraception ◽  
2016 ◽  
Vol 94 (5) ◽  
pp. 572-574 ◽  
Author(s):  
Katrina Mark ◽  
Barbara Bragg ◽  
Kiranpreet Chawla ◽  
Katherine Hladky
Keyword(s):  
Uterine Fibroids ◽  
Case Series ◽  
Medical Abortion

scholarly journals Should Prophylactic Anticoagulation Be Considered with Large Uterine Leiomyoma? A Case Series and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Mohamed A. Satti ◽  
Carmen Paredes Saenz ◽  
Rubin Raju ◽  
Sierra Cuthpert ◽  
Abed Kanzy ◽  
...  
Keyword(s):  
Literature Review ◽  
Uterine Leiomyoma ◽  
Medical Center ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Uterine Fibroids ◽  
Case Series ◽  
Thromboembolic Disease ◽  
Uterine Leiomyomas ◽  
Prophylactic Anticoagulation

Introduction. Uterine leiomyomas, also called uterine fibroids or myomas, are the most common pelvic tumors in women. They are very rarely the cause of acute complications. However, when complications occur they cause significant morbidity and mortality. Thromboembolic disease has been described as a rare complication of uterine leiomyomas. DVT is a serious illness, sometimes causing death due to acute PE.Cases. We report a case series of 3 patients with thromboembolic disease associated with uterine leiomyoma at Hurley Medical Center, Flint, Michigan, during 2015 and conduct a literature review on the topic. A literature search was conducted using Medline, PubMed, and PMC databases from 1966 to 2015.Conclusion. The uterine leiomyoma is a very rare cause of PE and only few cases have been reported. DVT secondary to uterine leiomyoma should be considered in a female presenting with abdominal mass and pelvic pressure, if there is no clear common cause for her symptoms. Thromboembolic disease secondary to large uterine leiomyoma should be treated with acute stabilization and then hysterectomy. Prophylactic anticoagulation would be beneficial for lowering the risk of VTE in patients with large uterine leiomyoma.

scholarly journals Ulipristal acetate (UPA) for fibroids–IVF outcomes following treatment with UPA after IVF failure: series of 2 case reports

2017 ◽  
Vol 6 (7) ◽  
pp. 3177 ◽  
Author(s):  
Ashish R Kale
Keyword(s):  
Case Reports ◽  
Uterine Fibroids ◽  
Case Series ◽  
Standard Of Care ◽  
Infertile Woman ◽  
Ulipristal Acetate ◽  
Uterine Tumors ◽  
Size Number ◽  
Ivf Failure

Uterine fibroids (also known as leiomyomas or myomas) are the most common form of benign uterine tumors. Fibroids are present in 5-10% of infertile patients, and may be the sole cause of infertility in 1-2.4%. The removal of fibroids by hysteroscopy and laparoscopy has now become the standard of care depending upon the size, number and location of fibroids in an infertile woman. Off lately, there is growing evidence of the crucial role of progesterone pathways in the pathophysiology of uterine fibroids due to the use of selective progesterone receptor modulators (SPRMs) such as ulipristal acetate (UPA). Here, we report a case series of 2 women, with fibroids, who were put on UPA prior to IVF. These women had at least one previous IVF failure. The pre and post UPA fibroid characteristics were compared to see the effect of the drug. IVF was done post 3 month UPA therapy. Both the women showed a drastic reduction in the fibroid size, increased distance from endometrial cavity, and successful post UPA IVF cycles. Safety of the drug has been proven in few recent trials, but the role of UPA in infertile women with fibroids, who have had previous IVF failure, has opened new horizons in this field.

scholarly journals Medical Abortion in Family Practice: A Case Series

2003 ◽  
Vol 16 (4) ◽  
pp. 290-295 ◽  
Author(s):  
L. Prine ◽  
R. Lesnewski ◽  
N. Berley ◽  
M. Gold
Keyword(s):  
Family Practice ◽  
Case Series ◽  
Medical Abortion

scholarly journals A case series of caesarean myomectomy

2021 ◽  
Vol 10 (9) ◽  
pp. 3580
Author(s):  
Shazia Parveen ◽  
Nasreen Noor ◽  
Iti Madan ◽  
Ummay Kulsoom
Keyword(s):  
Smooth Muscle ◽  
Caesarean Section ◽  
Observational Study ◽  
Cesarean Section ◽  
Patient Selection ◽  
Uterine Fibroid ◽  
Uterine Fibroids ◽  
Case Series ◽  
Operative Morbidity ◽  
Cesarean Myomectomy

Uterine fibroids are benign, monoclonal tumors of smooth muscle cells of the myometrium. Most fibroids do not increase in size during pregnancy and are not always removed when encountered during cesarean section. Objective was to see the outcome of patients undergoing cesarean myomectomy. The study design was observational study. All patients undergoing cesarean section with uterine fibroid of size more than 5 cm. In carefully selected patients and with use of intraoperative vasopressin, myomectomy may be safely accomplished at the time of caesarean section by experienced surgeons. cesarean myomectomy is safe and successful if patient selection is done carefully and does not add to any additional post-operative morbidity.

scholarly journals Case series of seven women with uterine fibroids associated with venous thromboembolism and chronic thromboembolic disease

2018 ◽  
Vol 9 (1) ◽  
pp. 204589401880387 ◽  
Author(s):  
Anne-Sophie Lacharite-Roberge ◽  
Farhan Raza ◽  
Riyaz Bashir ◽  
Chandra A. Dass ◽  
G. William Moser ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Venous Thromboembolism ◽  
Case Reports ◽  
Uterine Fibroids ◽  
Case Series ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Thromboembolic Disease ◽  
Pulmonary Thromboendarterectomy ◽  
Exertional Dyspnea ◽  
Chronic Thromboembolic Disease

Uterine fibroids have been described as an associate to acute venous thromboembolism (VTE), with case reports showing an association between large uterine fibroids, acute deep venous thrombosis (DVT), and acute pulmonary embolism (PE). However, there is little known about the association or causation between uterine fibroids, chronic thromboembolic disease (CTED), and chronic thromboembolic pulmonary hypertension (CTEPH). We report on six women with uterine fibroids and CTEPH, as well as one woman with CTED, all of whom presented with exertional dyspnea, lower extremity swelling, and in the cases of CTEPH, clinical, echocardiographic, and hemodynamic evidence of pulmonary hypertension and right heart failure. Compression of the pelvic veins by fibroids was directly observed with invasive venography or contrast-enhanced computed tomography in five cases. All seven women underwent pulmonary thromboendarterectomy (PTE) followed by marked improvement in functional, clinical, and hemodynamic status.

scholarly journals REPRODUCTIVE OUTCOMES AFTER ABDOMINAL MYOMECTOMY

2021 ◽  
Vol 71 (4) ◽  
pp. 1311-13
Author(s):  
Yasmin Fatima ◽  
Mumtaz Amir
Keyword(s):  
Uterine Fibroids ◽  
Case Series ◽  
Military Hospital ◽  
Reproductive Outcomes ◽  
Assisted Reproductive Technique ◽  
Infertile Women ◽  
Abdominal Myomectomy ◽  
Spontaneous Conception ◽  
Study Results ◽  
Reproductive Technique

Objective: To determine the frequency of reproductive outcomes after abdominal myomectomy in infertile women. Study Design: Case series. Place and Duration of Study: at Combined Military Hospital, Multan Pakistan, from Sep 2015 to Feb 2017. Methodology: This study included 60 women who underwent myomectomy to retain their capabilities of reproduction. Inclusion criteria were infertile women with uterine fibroids. Routine investigation was done to all patients like ultrasound and hysterosalpingogram before and after the procedure. The procedure of abdominal myomectomy was done under general anesthesia. All fibroids were enucleated and large blood vessels were tied. Vicryl no.1 was used to close the uterine defect. All patients were followed up for 3, 6 and 12 months interval and data was collected for conception, spontaneous conception, and conception with assisted reproductive technique, live birth and miscarriage. Results: In this study mean age was 27.33 ± 4.03 years, mean number of fibroid was 1.366 ± 0.48 and mean size of fibroid was 7.06 ± 1.64 cm. Twenty eight (46.7%) women had conceived after myomectomy, in which 92.9% had spontaneous conception and 7.1% by assisted reproductive technique. Conclusion: Abdominal myomectomy should be the standard treatment of infertile women with uterine fibroids if no other underline cause of infertility. Moreover, this study results also showed that younger patients might be benefited more in term of reproductive outcomes after abdominal myomectomy.

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