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American Journal of Medical Case Reports. 2023, 11(7), 119-122
DOI: 10.12691/AJMCR-11-7-2
Original Research

Successfully Performing a Cesarean Myomectomy: a Case Report

Bethel Tesfaye Bizuneh1, , Tewodros Kassahun Tarekegn1, , Hayat Yassin Nuri2, Evelyn Cantillo Aguila3, Efrata Sentayehu Teshome1, Adey Gizachew Alemayehu1, Tereza Mulatu Tafesse4, Rediet Habtu Lebelo1, Solomon Endale Dagnachew4, Erdachew Gallo Beyene5, Rediet Abebe Mekonnen1, Michael Million Minase6, Helen Assefa Berhe7, Edlawit Mebrahtu Jember8, Elul Simeneh Abiy1, Sebelwongel Esubalew Bitew1 and Bisrat Nigussie Alemayehu1

1Department obstetrics and genecology-MuluG Health Services, Addis Ababa, Ethiopia

2Department of Paediatrics and Child health-MuluG Health Services, Addis Ababa, Ethiopia

3Department of Paediatrics, university of Medical Science Guantanamo, Cuba

4Department of Medicine, Hayat Medical College, Addis Ababa, Ethiopia.

5Department of Surgery Yekatite 12 hospital Medical College, Addis Ababa, Ethiopia.

6Department of Medicine, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

7Department of Medicine, Addis Ababa University, Tikurs Anbessa, College of Health Sciences, Ethiopia

8Department of Medicine Jimma University Oromia Region, Ethiopia

Pub. Date: August 04, 2023
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Cite this paper

Bethel Tesfaye Bizuneh, Tewodros Kassahun Tarekegn, Hayat Yassin Nuri, Evelyn Cantillo Aguila, Efrata Sentayehu Teshome, Adey Gizachew Alemayehu, Tereza Mulatu Tafesse, Rediet Habtu Lebelo, Solomon Endale Dagnachew, Erdachew Gallo Beyene, Rediet Abebe Mekonnen, Michael Million Minase, Helen Assefa Berhe, Edlawit Mebrahtu Jember, Elul Simeneh Abiy, Sebelwongel Esubalew Bitew and Bisrat Nigussie Alemayehu. Successfully Performing a Cesarean Myomectomy: a Case Report. American Journal of Medical Case Reports. 2023; 11(7):119-122. doi: 10.12691/AJMCR-11-7-2

Abstract

Background: Due to concerns about uncontrolled hemorrhage and peripartum hysterectomy, routine myomectomy at the time of caesarean section has historically been denounced. That is still a hotly contested subject everywhere. Nonetheless, numerous case reports of caesarean myomectomy have recently been published, proving their safety and the absence of any serious sequelae. Case presentation: A 34 years old gravid 3 para2 with one previous caesarean section (CS) presented with a complains of passage of liquor per vaginum for10 hours which was yellow in color and odorless accompanied by mild abdominal cramp. Gestational age calculated from early ultrasound was 40weeks. She hads regular antenatal care (ANC) follow up and pregnancy was planned, wanted, and supported. The most recent ultrasonography (USG) result indicated a single viable intrauterine pregnancy and an intramural fibroid measuring 8.6 by 6.1 cm in the lower uterine segment's left anterolateral wall. Due of the fibroid's protrusion into the incision line and fear off wound dehiscence and delay in uterine wound healing post-surgery, the decision of myomectomy was taken. In order to prevent post-partum hemorrhage, proflacis oxytocin infusion treatment were given. Conclusions: If conducted safely, it can avert the additional morbidity of a future operation, justifying the procedure's cost-effectiveness.

Keywords

Myomectomy, Pregnancy, Fibroid, Cesarean section

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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