653: Maternal uterine leiomyoma and long-term pediatric morbidity in the offspring
Short term perinatal implications in pregnancies with uterine leiomyoma include lower ongoing pregnancy rates, higher rates of fetal malpresentation and preterm delivery. The potential long-term impact on offspring however, has not been investigated. The present study aimed to investigate the long-term morbidity in offspring of mothers with uterine leiomyomas.
Authors: Xie L, Liu Y, Wang D, Liu C, Zhou H, Lin Z, Lu H Abstract BACKGROUND The aim of this study was to evaluate the safety and efficacy of a 'baseball' suture technique for uterine myomectomy incision closure in laparoscopic surgical enucleation of uterine leiomyoma (fibroid). MATERIAL AND METHODS The study included 20 patients who underwent laparoscopic myomectomy with a 'baseball' suture technique, compared with 20 patients who underwent laparoscopic myomectomy with a standard suture method. Clinical characteristics, perioperative and follow-up data were compared between the two groups. RESULTS For the study ...
Conclusion Findings of this study showed that risk factors of recurrent abortion, TPO-Ab and uterine leiomyoma have significant importance in pregnant patients undergoing ART.
A 28-year-old female, nulligravida, having regular menstruation previously, presented with 2 months of amenorrhea, right lower abdominal pain and vaginal bleeding for 1 day. On clinical examination, the patient was hemodynamically stable. Abdominal examination revealed right iliac fossa tenderness. Speculum examination revealed minimal vaginal bleeding. On vaginal examination, a normal sized uterus with an adnexal mass in right fornix was observed. Cervical motion tenderness was present. Urine pregnancy test was positive.
Endobronchial papillomas and leiomyomas are benign tumors of the respiratory tract. Women are predominantly affected in their fourth and fifth decades. Clinical presentation of endobronchial leiomyomas depends on the tumor location, size, and its effect on the lung distal to the lesion.1 Patients usually present with symptoms due to partial or complete obstruction of the bronchus, which may include cough, wheezing, orthopnea, hemoptysis, recurrent pneumonia and bronchiectasis. Flexible bronchoscopy may be indicated to make the diagnosis, and surgical resection has been the standard treatment and has an excellent prognosis.
CONCLUSIONS: Weight gain in adulthood was associated with increased risk of uterine leiomyomas in Korean women, even in those with normal weight. PMID: 29625536 [PubMed - as supplied by publisher]
Conclusions The presence of a leiomyoma of ≥175 cm3, birth weight of ≥2500 g, and primipara were found to be predictors for massive intraoperative haemorrhage during caesarean delivery. A leiomyoma ≥175 cm3 which is equivalent volume to a 7 cm diameter sphere can be diagnosed in the first trimester using sonography. In cases of cesarean delivery with these predictors, preparation for massive haemorrhage, including storage of autologous blood, may be considered.
A 30 year old nulliparous woman received high-intensity focused ultrasound ablation for her type 1 uterine myoma caused by chronic menorrhagia and dysmenorrhea. Magnetic resonance imaging revealed a lesion size of 3.5 cm × 5.1 cm × 5.4 cm myoma with its pedicle (asterisk) identified at the right lateral wall of the uterus (Figure 1). Eight months later, she became pregnant. At 16 weeks of gestation, the placenta was found to implant at the same myoma and then with central necrosis and decreased size (Fig ure 2).
ConclusionsThe etiological diagnosis of acute intestinal obstruction during pregnancy is not easy, especially in the context of a low-income country where the means of biological and radiological diagnosis are lacking. A laparotomy is required before diagnosis of acute surgical abdomen and its management will depend on the intraoperative findings and the condition of the patient.
(Abstracted from Hum Reprod 2017;32(10):2036–2041) Uterine tumors are a public health issue because of their prevalence in women and their connection to menstrual disorders, anemia, pelvis pain, pregnancy loss, and infertility. Treatment of symptomatic fibroids includes open myomectomy or hysterectomy, which have higher morbidity rates, longer hospital stays, and more disruption of daily life.
AbstractRationale:PNETs (primitive neuroectodermal tumors) are a family of highly malignant neoplasms characterized by small round cells of neuroepithelial origin. They usually involve bone and soft tissues, and have a higher incidence in childhood.Patient concerns:In this case report, we describe the obstetric and oncological outcome of a huge mass diagnosed as a leiomyoma in a 39-year-old pregnant woman who complained of low back pain, dysuria, and urinary frequency at 22 weeks of gestation.Diagnoses:During the 25th week of pregnancy, the patient was referred to our hospital at night with severe anemia and suspected hemo...