[Primipara in advanced age with myomatous uterus--caesarean section with complications (author's transl)].

Myomatous uterus and transverse presentation was recorded from a primipara, 45 years of age, with unconspicious case history, about four weeks before term. Cephalometric and cardiotocographic findings had been non-contributory. Typical isthmic caesarean section could not be performed for strongly pronounced myoma in the cervical region of the uterus. The embryonic cavity could be reached only by very high corporeal longitudinal section. A widely intact infant was born, with all the technical problems involved.