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

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Iman Usman Haruna ◽  
Jamilu Tukur ◽  
Idris Usman Takai ◽  
Abdullahi Mustapha Miko Mohammed ◽  
Ali Abdurrahman Bunawa
Keyword(s):  
Caesarean Section ◽  
Acute Abdomen ◽  
Live Birth ◽  
Uterine Fibroid ◽  
Recent Literature ◽  
Caesarian Section ◽  
Term Delivery ◽  
In Pregnancy

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.

scholarly journals Right ovarian torsion and oophorectomy in second trimester of pregnancy with subsequent live birth at term

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Omotade A Ijarotimi ◽  
◽  
Olumide A Adeniyi Omitinde ◽  
Stephen O Omitinde ◽  
Akaninyene E Ubom ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Live Birth ◽  
Surgical Intervention ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
First Trimester ◽  
Ovarian Torsion ◽  
Polycystic Ovaries ◽  
Case Presentation ◽  
In Pregnancy

Introduction: Ovarian torsion is a cause of acute abdomen in pregnancy with an incidence of less than 1% occurring most commonly in the first trimester. The symptoms are non-specific with a propensity for missed or delayed diagnosis which may worsen the morbidity associated with this condition. Management is mainly surgical and pregnancy outcome is usually satisfactory. Case presentation: We present the case of a 29-year-old G2 P0 +1 with background polycystic ovaries who complained of abdominal pains at an Estimated Gestational Age (EGA) of 21 weeks in pregnancy. Clinical suspicion was confirmed with a 2D abdominopelvic ultrasound and she subsequently had emergency exploratory laparotomy with right oophorectomy. Pregnancy progressed well and she had a live birth at term. Conclusion: Ovarian torsion is rare in pregnancy. Complications following prompt surgical intervention are however, few and pregnancy outcomes are usually favourable. Keywords: Ovarian cyst; torsion; acute abdomen; cyst accident; pregnancy.

scholarly journals Myomectomy in pregnancy: feasibility and safety

2017 ◽  
Vol 6 (10) ◽  
pp. 4204 ◽  
Author(s):  
Reddi Rani P. ◽  
Ashwini Vishalakshi L. ◽  
Lopamudra B. John
Keyword(s):  
Caesarean Section ◽  
Recent Literature ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Imaging Technology ◽  
Obstetrical Complications ◽  
Uncontrolled Bleeding ◽  
In Pregnancy

Prevalence of myoma in pregnancy is increasing due to advances in imaging technology. Majority are asymptomatic. Symptomatic myomas are usually large, increase in size during pregnancy and give rise to various obstetrical complications. Myomectomy during pregnancy is controversial. The management of fibroids encountered during pregnancy and caesarean section is a therapeutic dilemma. Myomectomy during pregnancy and caesarean section is discouraged traditionally due to fear of miscarriage, uncontrolled bleeding, failure to obliterate the cavity, and ending in hysterectomy. Recent literature suggests myomectomy during pregnancy and caesarean section is safe in well selected cases with experienced obstetrician in a tertiary care center.

‘Pregnancy month by month’

1977 ◽  
Vol 15 (22) ◽  
pp. 88-88
Keyword(s):  
Caesarean Section ◽  
Infectious Diseases ◽  
Pregnancy And Childbirth ◽  
Threatened Miscarriage ◽  
Financial Benefits ◽  
Rhesus Incompatibility ◽  
In Pregnancy

Consumers’ Association has just published a revised and up-to-date edition of this comprehensive guide to pregnancy and childbirth. The book is a straightforward account for women of what should happen when all goes well, and also deals with what might happen if anything goes wrong; it gives information on rhesus incompatibility, threatened miscarriage, toxaemia, rubella and other infectious diseases in pregnancy, and advises on how to cope with a stillbirth. Types of anaesthesia and pain-relieving drugs, methods of assisted births and caesarean section are described. Apart from medical aspects, Pregnancy Month by Month explains what financial benefits are available and how and when to claim them.

scholarly journals Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Chunyan Zeng ◽  
Feng Yang ◽  
Chunhua Wu ◽  
Junlin Zhu ◽  
Xiaoming Guan ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Conservative Treatment ◽  
Literature Review ◽  
Vaginal Delivery ◽  
Clinical Characteristics ◽  
Uterine Prolapse ◽  
The Other ◽  
Gestational Period ◽  
In Pregnancy

Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible. Vaginal delivery is possible, but caesarean section seems a better alternative when prolapsed uterus cannot resolve during childbirth.

scholarly journals A rare acute abdomen case in pregnancy: myoma torsion

2018 ◽  
Vol 1 (2) ◽  
pp. 23-25
Author(s):  
Kemal Dinç ◽  
Tekin Ekinci ◽  
Barış Çıplak ◽  
Rezzan Erguvan Önal ◽  
Mustafa Şahin
Keyword(s):  
Acute Abdomen ◽  
In Pregnancy

scholarly journals TO THE QUESTION ON UTERINE FIBROIDS DURING PREGNANCY

2021 ◽  
pp. 54-59
Author(s):  
T. F. TATARCHUK ◽  
N. V. KOSEY ◽  
S. I. REGEDA ◽  
O. V. ZANKO ◽  
K. D. PLAKSIIEVA
Keyword(s):  
Statistical Analysis ◽  
Cesarean Section ◽  
Live Birth ◽  
Uterine Fibroid ◽  
Postpartum Period ◽  
Uterine Fibroids ◽  
Premature Delivery ◽  
Pelvic Ultrasound ◽  
Natural Childbirth ◽  
Increased Risk

Uterine fibroids is an extremely common tumor of the female reproductive system, among whose manifestations are infertility, spontaneous abortions, incorrect fetal position, placenta previa, premature delivery, bleeding during and after delivery, and an increased risk of cesarean section. According to the literature, myomas are changing in size during pregnancy and in the postpartum period. Aim of the study. To assess the dynamics of uterine fibroid size change during pregnancy and the effect of an existing uterine fibroid on the course of pregnancy and labor. Materials and methods. Outpatient records of patients aged 24 to 45 years (mean age 33.36 ± 4.63 years) who were diagnosed with Pregnancy and uterine fibroids from 2016 to 2021 at Verum Medical Center were evaluated (n = 57). The size of the fibroids (volume and diameter) before, during (I or II prenatal screening) and after pregnancy (first pelvic ultrasound after delivery) was used for statistical analysis. Forty-one of the 57 patients had pelvic ultrasound before, during, and after pregnancy and were included in the statistical analysis of changes in uterine myoma size. Results. Among the patients included in the statistical analysis, uterine fibroids increased in volume by 194.38% ± 86.9 (40.98% ± 18.4 in diameter) during pregnancy, and decreased by 53.98% ± 14.93 in diameter and by 54.28% ± 29.62 of baseline in the postpartum period. A significant number of fibroids (39.47%) did undergo involutionary changes and were not visualized in the first postpartum ultrasound. The live birth rate was high at 90% (64% of deliveries were through natural childbirth and 26% through cesarean section). Conclusions. There was no effect of intramural, intramural-subserosal, and subserosal uterine fibroids with an average diameter of £20 mm on pregnancy and live birth in women. A great amount of uterine fibroids nearly triple in size during pregnancy, but after delivery they return to their original size and even halve in size. This can be regarded as a confirmation of the absence of a negative effect of pregnancy, or, possibly, a positive effect on uterine fibroid size, which requires further investigation.

scholarly journals Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Jennifer Travieso ◽  
Omar M. Young
Keyword(s):  
Acute Abdomen ◽  
Delayed Diagnosis ◽  
Kidney Injury ◽  
Percutaneous Nephrostomy ◽  
Gravid Uterus ◽  
Intractable Pain ◽  
Second Trimester ◽  
Improved Outcomes ◽  
Maternal And Neonatal Outcomes ◽  
In Pregnancy

Background. Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth.Case. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient’s pain was relieved. She subsequently delivered at term.Conclusion. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.

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