Brazet E, Ghassani A, Voglimacci M, Chalret Du Rieu M, Berlioux P, Parant O
Service de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU Toulouse, 31059 Toulouse cedex 9, France.
Hôpital Purpan-pavillon Dieulafoy, CHU Toulouse, chirurgie générale et digestive, place du docteur Joseph-Baylac, 31059 Toulouse, France.
Gynecol Obstet Fertil. 2014 Nov;42(11):806-9. doi: 10.1016/j.gyobfe.2014.09.012. Epub 2014 Oct 18.
We report the case of a massive posterior leiomyoma leading to a bowel acute obstruction and an obstructive renal failure in a 33 years old primigest woman during pregnancy. The patient underwent a urinal and an intestinal derivation during de second trimester of pregnancy as a conservative management. End of pregnancy was uneventful and she gave birth to an healthy boy (2345g) at term, by cesarean section for praevia leiomyoma. The myoma was removed 6 weeks after delivery with restoration of digestive continuity in the same time. This case report shows the morbidity of 10cm and larger leiomyoma during pregnancy.