Saharkhiz Nasrin, Nemati Mitra, Hajizadeh Nazanin, Abbasi Hajar
Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Reprod Biomed. 2024 Oct 14;22(8):673-678. doi: 10.18502/ijrm.v22i8.17242. eCollection 2024 Aug.
Leiomyoma, also known as uterine fibroid, is a non-malignant tumor originating from the uterus's smooth muscles. It is the most common benign tumor in the female genital tract, exhibiting varying size and form that can distort the uterus's shape. Uterine fibroids affect 2.7-10.7% of pregnant women and can lead to increased risks during pregnancy, such as miscarriage, placental abruption, preterm labor, and fetal malpresentation. Myomectomy is a surgical intervention for uterine fibroids, but it has drawbacks, including hemorrhage, fever, infection, ureter ligation, adhesive disorders, and unplanned hysterectomy.
In this case report, we present a 32-yr-old woman with a large leiomyoma who underwent laparotomy myomectomy due to abdominal pain and heavy menstrual bleeding. 4 wk after the myomectomy, she was referred to the Obstetric Clinic of Ayatollah Taleghani hospital, Tehran, Iran complaining of delayed menstruation. Her beta-human chorionic gonadotropin test was positive. Ultrasound revealed a fetus with an estimated gestational age of 6 wk and 4 days. The pregnancy continued with no complications. At 38 wk of gestation, she underwent a cesarean section and delivered a healthy newborn.
This case report supports previous publications that have demonstrated the safety of myomectomy during pregnancy.
平滑肌瘤，又称子宫肌瘤，是一种起源于子宫平滑肌的非恶性肿瘤。它是女性生殖道最常见的良性肿瘤，大小和形态各异，可使子宫形态扭曲。子宫肌瘤影响2.7%至10.7%的孕妇，并可导致孕期风险增加，如流产、胎盘早剥、早产和胎位异常。子宫肌瘤切除术是治疗子宫肌瘤的一种手术干预方法，但它有一些缺点，包括出血、发热、感染、输尿管结扎、粘连性疾病和意外子宫切除术。
在本病例报告中，我们介绍了一名32岁患有大子宫肌瘤的女性，她因腹痛和月经过多而接受了剖腹子宫肌瘤切除术。子宫肌瘤切除术后4周，她因月经推迟被转诊至伊朗德黑兰阿亚图拉·塔莱加尼医院的产科门诊。她的β-人绒毛膜促性腺激素检测呈阳性。超声检查显示胎儿，估计孕周为6周4天。妊娠继续，无并发症。妊娠38周时，她接受了剖宫产，产下一名健康的新生儿。
本病例报告支持了先前证明孕期子宫肌瘤切除术安全性的出版物。
