Coexistente of a prolapsed, pedunculated cervical myoma and pregnancy complications: A case report

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dc.contributor.authorOruç S.
dc.contributor.authorKaraer Ö.
dc.contributor.authorKurtul Ö.
dc.date.accessioned2024-07-22T08:24:39Z
dc.date.available2024-07-22T08:24:39Z
dc.date.issued2004
dc.description.abstractBACKGROUND: Different types of fibroids may affect reproductive outcome to a different extent, causing infertility and pregnancy wastage. Rectosigmoid compression, prolapse of a pedunculated submucous tumor through the cervix, venous stasis, polycythemia and ascites are infrequently associated with leiomyomas. Uterine leiomyomas are found in approximately 2% of pregnant women; 1 in 10 causes complications during pregnancy. CASE: A 37-year-old woman, gravida 3, para 2, abortion 0, at 18 weeks of pregnancy, arrived at our outpatient clinic with a complaint of leaking vaginal fluid. On examination, a prolapsed, pedunculated myoma, measuring 5 × 6 × 7 cm, and pooling of amniotic fluid in the vaginal fornix were detected. Antibiotics were started, but the amniotic fluid leak continued, and the fetal heart beat became undetectable after 12 hours of hospitalization. We tried to excise the myoma from the vagina but because it was very large, we could not reach the proximal point it originated from. We dissected the posterior cervical channel, removed the myoma and performed a total abdominal hysterectomy. CONCLUSION: Vaginal myomectomy is recommended as the initial treatment of choice for a prolapsed, pedunculated submucous myoma except when other indications necessitate an abdominal approach. Use of Laminaria and hysteroscopic resection has been mentioned as other treatment choices. In our case a prolapsed, pedunculated cervical myoma was detected along with pregnancy complications, preterm premature rupture of membranes and fetal death. The cause-and-effect relationship between the prolapsed myoma and membrane rupture is unknown. We were unable to perform a vaginal or abdominal myomectomy because the myoma originated in the posterior cervical region, so we had to perform an abdominal hysterectomy.
dc.identifier.issn00247758
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20071
dc.language.isoEnglish
dc.publisherJournal of Reproductive Medicine, Inc.
dc.subjectAbortion, Induced
dc.subjectAdult
dc.subjectFemale
dc.subjectFetal Death
dc.subjectFetal Membranes, Premature Rupture
dc.subjectHumans
dc.subjectHysterectomy
dc.subjectMyoma
dc.subjectPregnancy
dc.subjectPregnancy Complications, Neoplastic
dc.subjectProlapse
dc.subjectUterine Cervical Neoplasms
dc.subjectantibiotic agent
dc.subjectabdominal hysterectomy
dc.subjectadult
dc.subjectamnion fluid
dc.subjectantibiotic therapy
dc.subjectarticle
dc.subjectcase report
dc.subjectclinical examination
dc.subjectfemale
dc.subjectfemale infertility
dc.subjectfetus death
dc.subjectfetus monitoring
dc.subjectfetus wastage
dc.subjectgestational age
dc.subjecthuman
dc.subjectmyoma
dc.subjectmyomectomy
dc.subjectpregnancy complication
dc.subjectpremature fetus membrane rupture
dc.subjectpriority journal
dc.subjectsurgical approach
dc.subjectsurgical technique
dc.subjecttreatment indication
dc.subjectuterus myoma
dc.subjectuterus prolapse
dc.subjectvagina discharge
dc.subjectfetus death
dc.subjecthysterectomy
dc.subjectinduced abortion
dc.subjectmethodology
dc.subjectmyoma
dc.subjectpregnancy
dc.subjectpregnancy complication
dc.subjectpremature fetus membrane rupture
dc.subjecttissue injury
dc.subjectuterine cervix tumor
dc.titleCoexistente of a prolapsed, pedunculated cervical myoma and pregnancy complications: A case report
dc.typeArticle

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