Marlina Dina, Utomo Aditya, Susilo Artha Falentin Putri, Aditiyono Aditiyono, Adriansyah Putri Nadhira Adinda, Aziz Muhammad Alamsyah
Department of Obstetrics and Gynecology, Universitas Padjadjaran, Bandung, Indonesia.
Division of Fertility and Endocrinology Reproduction, Department of Obstetrics and Gynecology, Universitas Padjadjaran, Bandung, Indonesia.
J Med Cases. 2025 Mar;16(3):95-101. doi: 10.14740/jmc5073. Epub 2025 Feb 18.
Uterine fibroids, or myomas, are benign tumors affecting about 68.6% of women, with Indonesia's Hasan Sadikin Hospital reporting a prevalence between 2.4% and 12.46%. In pregnancy, the incidence drops to 0.1% to 10.7%, but fibroids can still lead to complications. This case study highlights the successful management of a complex pregnancy with multiple large uterine fibroids. A 36- to 37-week primigravida presented with a large intramural fibroid (20 × 15 × 10 cm) at the uterine fundus and six smaller fibroids in the anterior corpus. Despite these challenges, the pregnancy progressed without major issues. A cesarean section was performed, delivering a healthy baby weighing 2,815 g and measuring 46 cm. The case demonstrates effective management of a difficult obstetric situation, emphasizing the importance of tailored care and surgical skill in achieving favorable outcomes for both mother and baby.
子宫肌瘤，又称平滑肌瘤，是一种良性肿瘤，影响着约68.6%的女性，印度尼西亚的哈桑·萨迪金医院报告其患病率在2.4%至12.46%之间。在怀孕期间，发病率降至0.1%至10.7%，但肌瘤仍可能导致并发症。本病例研究突出了对患有多个大子宫肌瘤的复杂妊娠的成功管理。一名36至37周的初产妇在子宫底部有一个大的肌壁间肌瘤（20×15×10厘米），在前壁还有六个较小的肌瘤。尽管存在这些挑战，但妊娠进展顺利，未出现重大问题。进行了剖宫产，产下一名健康婴儿，体重2815克，身长46厘米。该病例展示了对困难产科情况的有效管理，强调了个性化护理和手术技巧对于母婴获得良好结局的重要性。
