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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

Staple line assessed for hemostasis.
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f2-amjcaserep-16-505: Staple line assessed for hemostasis.

Mentions: The specimens were removed using a nylon extraction bag introduced through the left lateral trocar site. An incision adequate to enable removal of the bag containing the intact leiomyoma and the appendix was made at the left lateral site (40 mm). The laparoscope was reinserted, the staple line was assessed for hemostasis (Figure 2), and peritoneal irrigation was finally 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)

Staple line assessed for hemostasis.
© Copyright Policy
Related In: Results  -  Collection

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

f2-amjcaserep-16-505: Staple line assessed for hemostasis.
Mentions: The specimens were removed using a nylon extraction bag introduced through the left lateral trocar site. An incision adequate to enable removal of the bag containing the intact leiomyoma and the appendix was made at the left lateral site (40 mm). The laparoscope was reinserted, the staple line was assessed for hemostasis (Figure 2), and peritoneal irrigation was finally 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