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Laparoscopic Excision of a Pedunculated Uterine Leiomyoma in Torsion as a Cause of Acute Abdomen at 10 Weeks of Pregnancy.

Kosmidis C, Pantos G, Efthimiadis C, Gkoutziomitrou I, Georgakoudi E, Anthimidis G - Am J Case Rep (2015)

Bottom Line: A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma.Subsequently laparoscopic myomectomy was successfully carried out.Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.

ABSTRACT

Background: Pregnancy outcomes after laparoscopic myomectomy are generally favorable, with a pregnancy rate that is comparable to or even higher than the rate associated with abdominal myomectomy. The purpose of this article is to present the case of a pregnant patient at 10 weeks of gestation who was submitted to successful laparoscopic myomectomy of a twisted pedunculated uterine leiomyoma.

Case report: A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma. Subsequently laparoscopic myomectomy was successfully carried out.

Conclusions: Laparoscopic myomectomy is a technically challenging procedure with surgeon-specific limitations. Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery.

No MeSH data available.


Related in: MedlinePlus

Laparoscopy revealed a huge twisted penduculated uterine leiomyoma located at the fundus.
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f1-amjcaserep-16-505: Laparoscopy revealed a huge twisted penduculated uterine leiomyoma located at the fundus.

Mentions: A 31-year-old Greek woman presented at the A&E department complaining of acute progressive generalized abdominal pain with associated tenderness. The patient was found to be pregnant at 10 weeks of gestation. She underwent physical examination and positive Blumberg’s sign was revealed. Inflammation markers and white blood cell count were elevated, consistent with acute surgical abdomen disease. Transvaginal ultrasonography was negative. Transabdominal ultrasound was performed and revealed a gravid uterus (with a viable embryo) and a large leiomyoma in the fundus of the uterus. There was no sign of degenerative changes or calcification despite its large size (maximum diameter: 7.7 cm). Poor vascularity of the tumor was obvious on triplex color Doppler imaging. Additional leiomyomas were shown in the body of the uterus (maximal diameter: 1.2 cm). The ovaries appeared normal and a small amount of fluid was noticed in the right paracolic gutter. The use of magnetic resonance imaging (MRI) scan was suggested but it was not available. Diagnostic laparoscopy was performed to further evaluate the cause of the acute abdomen. Laparoscopy revealed a huge twisted pedunculated uterine leiomyoma located at the fundus (Figure 1). Therefore, laparoscopic myomectomy was carried out.


Laparoscopic Excision of a Pedunculated Uterine Leiomyoma in Torsion as a Cause of Acute Abdomen at 10 Weeks of Pregnancy.

Kosmidis C, Pantos G, Efthimiadis C, Gkoutziomitrou I, Georgakoudi E, Anthimidis G - Am J Case Rep (2015)

Laparoscopy revealed a huge twisted penduculated uterine leiomyoma located at the fundus.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4554335&req=5

f1-amjcaserep-16-505: Laparoscopy revealed a huge twisted penduculated uterine leiomyoma located at the fundus.
Mentions: A 31-year-old Greek woman presented at the A&E department complaining of acute progressive generalized abdominal pain with associated tenderness. The patient was found to be pregnant at 10 weeks of gestation. She underwent physical examination and positive Blumberg’s sign was revealed. Inflammation markers and white blood cell count were elevated, consistent with acute surgical abdomen disease. Transvaginal ultrasonography was negative. Transabdominal ultrasound was performed and revealed a gravid uterus (with a viable embryo) and a large leiomyoma in the fundus of the uterus. There was no sign of degenerative changes or calcification despite its large size (maximum diameter: 7.7 cm). Poor vascularity of the tumor was obvious on triplex color Doppler imaging. Additional leiomyomas were shown in the body of the uterus (maximal diameter: 1.2 cm). The ovaries appeared normal and a small amount of fluid was noticed in the right paracolic gutter. The use of magnetic resonance imaging (MRI) scan was suggested but it was not available. Diagnostic laparoscopy was performed to further evaluate the cause of the acute abdomen. Laparoscopy revealed a huge twisted pedunculated uterine leiomyoma located at the fundus (Figure 1). Therefore, laparoscopic myomectomy was carried out.

Bottom Line: A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma.Subsequently laparoscopic myomectomy was successfully carried out.Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece.

ABSTRACT

Background: Pregnancy outcomes after laparoscopic myomectomy are generally favorable, with a pregnancy rate that is comparable to or even higher than the rate associated with abdominal myomectomy. The purpose of this article is to present the case of a pregnant patient at 10 weeks of gestation who was submitted to successful laparoscopic myomectomy of a twisted pedunculated uterine leiomyoma.

Case report: A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma. Subsequently laparoscopic myomectomy was successfully carried out.

Conclusions: Laparoscopic myomectomy is a technically challenging procedure with surgeon-specific limitations. Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery.

No MeSH data available.


Related in: MedlinePlus