Management in cases of large uterine myomas in pregnancy
-
Aleksandra Stupak
,
Marcin Bobiński
Abstract
Objectives
Uterine fibroids are the most common benign tumors in women of procreative age. The effects of their occurrence affect the course of pregnancy by increasing the frequency of abortions, premature delivery or premature abruption of the placenta. Medical treatment includes clinical observation, pharmacological pain control, myomectomy during pregnancy or perinatal hysterectomy.
Case presentation
We present a survey of literature and the case of a pregnant woman with an enormous uterine fibroid 23×13×16 cm on the basis of which a diagnostic-therapeutic scheme for tumors of the reproductive organs during pregnancy has been developed.
Conclusions
The study presents improved recommendations for management the pregnancies in presence of the uterine myomas based on clinical practice.
Acknowledgments
The authors are very grateful to prof. R. Pietura and his team from Department of Radiography, Medical University of Lublin, Poland for taking part in diagnosis and treatment of our patient. The text was proof read by Gareth Entwistle a native speaker from Milton English Cracow, Poland.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent statement: Informed consent was obtained from the patient included in the study.
Ethical approval: The study was approved by the Ethics Committee of the Medical University of Lublin.
References
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