Huge Uterine Fibroid in Pregnancy Managed with Caesarean Myomectomy: A Case Report

Abstract

Uterine fibroids are the most common neoplasms affecting women with higher prevalence among women of African ancestry. Common surgical option for the treatment is myomectomy which may sometimes be done at caesarean section. Here, we report a case of a successful cesarean myomectomy for huge subserous fibroid. She was a 29-year-old primigravida who was referred to our facility at a gestational age of 14weeks and 2days on account of abdominal pain suggestive of red degeneration of fibroid in pregnancy. She required multiple admissions in pregnancy on account of recurrent iron deficiency anemia and abdominal pain from degenerative changes. She developed worsening dyspnea from mass effect of the fibroid and subsequently had urgent cesarean section at 35weeks with successful removal of the huge subserous fibroid. Caesarean myomectomy though controversial remains a safe option for the management of uterine fibroid in well selected cases.