Abdominal pregnancy implanted on surface of pedunculated subserosal uterine leiomyoma: a case report
Publication date: Available online 15 October 2019Source: Case Reports in Women's HealthAuthor(s): Hiroshi Sato, Yukako Mizuno, Sunao Matsuzaka, Tatsuro Horiuchi, Shota Kanbayashi, Miho Masuda, Ayaka Nakashima, Makiko Ikeda, Miki Yasuda, Hajime Morishita, Yukiko Ando, Kenji Oida, Nao Taguchi, Masaya HiroseAbstractAbdominal pregnancy is a rare form of ectopic pregnancy. Various sites of implantation in abdominal pregnancy have been reported. Uterine serosa is an extremely rare implantation site, with only a few cases reported to date. No case of abdominal pregnancy implanted on the surface of a subserosal uterine leiomyoma has been reported. We herein report the case of a 40-year-old primigravida woman who was diagnosed with abdominal pregnancy implanted on the surface of a pedunculated subserosal uterine leiomyoma. The uterine leiomyoma with gestational tissue was resected laparoscopically and the postoperative course was uneventful. It is necessary to remember the possibility of unexpected implantation sites and that laparoscopic surgery may be more difficult in such cases than that for fallopian tube pregnancy.
Conclusions: The surgeons performing LM in women pre-treated with UPA should be aware of the abnormal texture of enucleated myomas. Nevertheless, this does not negatively affect the other surgical and clinical outcomes of these patients. PMID: 31617772 [PubMed - as supplied by publisher]
Objective: Uterine leiomyomas are seen in 1.6% to 4% of pregnancies. The effect of leiomyomas on pregnancy depends on their number, size and location. Myomectomy is generally avoided during pregnancy because increased vascularity can lead to hemorrhagic complications. In this video we demostrate the techniques involved in safely excising a fibroid in a pregnant patient at the first trimester of gestation who submitted to successful laparoscopic myomectomy of a red degeneration uterine leiomyoma.
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 ...
(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.
Study Objective: Myomectomy is a procedure often reserved for the treatment of symptomatic leiomyomas in women who desire fertility preservation.This surgery often leads to significant blood loss and produces a scar in the uterine body, so it is important to know what possible effects may have on the fertility of these patients.The purpose of our study is to assess the rates of postoperative fertility and pregnancy outcomes after laparoscopic myomectomy with a single surgeon.
AbstractSTUDY QUESTIONCan live birth be accurately predicted following surgical resection of moderate-severe (Stage III –IV) endometriosis?SUMMARY ANSWERLive births can accurately be predicted with the endometriosis fertility index (EFI), with adnexal function being the most important factor to predict non-assisted reproductive technology (non-ART) fertility or the requirement for ART (www.endometriosisefi.com).WHAT IS KNOWN ALREADYFertility prognosis is important to many women with severe endometriosis. Controversy persists regarding optimal post-operative management to achieve pregnancy and the counselling of patie...
Conclusions USAS is an easy, safe, and feasible alternative to uterine manipulation when performed concomitantly with LM for unfavorably localized uterine leiomyomas. .
Conclusion: Despite its low incidence, torsion of ovarian leiomyoma should be considered in the differential diagnosis of acute abdomen. Furthermore, laparoscopic exploration should be the preferred way of removing twisted ovarian leiomyoma, even during pregnancy. It seems that primary ovarian leiomyomata have a tendency to grow rapidly during early pregnancy. However, because of the low incidence of ovarian leiomyoma, the effects of estrogen and pregnancy on this condition remain unclear.
We report a case of spontaneous parasitic leiomyoma in a 30‐year‐old post‐partum woman. A subserosal leiomyoma had been noted at the first trimester screening, and she had experienced persistent abdominal pain during her previous pregnancy. She was referred to hospital with severe abdominal pain at 7 months after delivery. We detected a homogenous solid tumor that resembled the subserosal leiomyoma but was completely detached from the uterus. On laparoscopy the vascularization of the tumor was supplied from the omentum, which was tightly adherent to the tumor. Histopathologically, the tumor was surrounded by a fibrou...
Conclusion (s): Surgical treatment of IM is empirically difficult. It is important to use an approach that considers the location, size and shape of the myoma. All types of IM presented with similar symptoms and the highest blood loss occurred during LM of a LIM.