Transverse Fundal Incision Due to Huge Lower Segment Fibroid at Caesarean Section: A Case Report A CASE REPORT Section Case Report

Abstract

We present the case of a 29-year-old primigravida at a gestational age of 37 weeks, who had a transverse fundal uterine incision done due to a huge anterior wall leiomyoma and transverse lie. The rarity of this type of uterine incision and the size of the uterine myoma prompted this case report. She had a safe delivery of the foetus through the transverse fundal incision with a birth weight of 1.8kg, estimated blood loss of 600mls and APGAR score of 7 at 1 minute and 9 at 5 minutes. The patient had an uneventful post-operative period and was discharged home with her baby on the fourth postoperative day. In conclusion, the use of transverse fundal uterine incision is rare but may be a life-saving procedure in patients with multiple huge uterine fibroids in order to reduce the morbidity associated with caesarean myomectomy.