Makar A P, Schatteman E A, Vergote I B, Desmedt E
Department of Obstetrics and Gynecology, St. Augustinus Hospital, Antwerp.
Acta Chir Belg. 1989 Jul-Aug;89(4):212-4.
A case of myomectomy during pregnancy is presented. Generally myomectomy is contraindicated during this period. On the 14th week of pregnancy our patient presented with progressive lower abdominal pain and a tender mass of nearly 12 centimeter diameter in the pouch of Douglas. Therefore an exploratory laparotomy was performed to exclude torsion of an adnexal mass or pedunculated subserous myoma. A dorsal degenerating myoma with short thick pedicle (4 cm diameter) was found. It was compressed between the promontory of the sacrum and the uterus. Myomectomy was performed and pregnancy progressed without complications.
本文报告一例孕期子宫肌瘤切除术病例。一般来说，孕期进行子宫肌瘤切除术是禁忌的。在妊娠第14周时，我们的患者出现进行性下腹痛，Douglas腔有一个直径近12厘米的压痛肿块。因此，进行了剖腹探查术，以排除附件肿块或带蒂浆膜下肌瘤扭转。发现一个有短粗蒂（直径4厘米）的后壁退化性肌瘤，它被压迫在骶骨岬和子宫之间。进行了子宫肌瘤切除术，妊娠进展顺利，无并发症。
