Jonas Bubmann, Carl Mathis Wild, Christian Dannecker, Manuela Franitza, Bernadette Eser, Marina C Seefried, Thomas Kroencke, Philipp Voisard, Udo Jeschke, Fabian Garrido
{"title":"Review on Symptomatic pedunculated leiomyomas in pregnancy with special consideration of an example case.","authors":"Jonas Bubmann, Carl Mathis Wild, Christian Dannecker, Manuela Franitza, Bernadette Eser, Marina C Seefried, Thomas Kroencke, Philipp Voisard, Udo Jeschke, Fabian Garrido","doi":"10.1007/s00404-024-07840-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives/hypothesis: </strong>Symptomatic pedunculated leiomyomas in pregnancy; review of the literature with special consideration of an example case.</p><p><strong>Study design: </strong>Retrospective narrative review with an example case.</p><p><strong>Methods: </strong>Systematic evaluation of 37 reports.</p><p><strong>Example case: </strong>A 36-year-old Caucasian primigravida was referred symptomatic at 16 + 0 weeks due to a 13,5 cm myoma causing pain, constipation, urine retention and dysesthesias. Our patient underwent myomectomy at 17 + 0 weeks. One pedunculated leiomyoma was successfully removed.</p><p><strong>Conclusion: </strong>Myomectomy can be performed and is safe for pedunculated fibroids in pregnancy. Depending on the clinical scenario, surgical removal may be indicated. Based on the size of the fibroids and expected adhesions, a laparotomy is a safe option and is not a contraindication for vaginal birth in the case of pedunculated fibroids. Myomas larger than 10 cm should be removed by laparotomy.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Gynecology and Obstetrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00404-024-07840-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives/hypothesis: Symptomatic pedunculated leiomyomas in pregnancy; review of the literature with special consideration of an example case.
Study design: Retrospective narrative review with an example case.
Methods: Systematic evaluation of 37 reports.
Example case: A 36-year-old Caucasian primigravida was referred symptomatic at 16 + 0 weeks due to a 13,5 cm myoma causing pain, constipation, urine retention and dysesthesias. Our patient underwent myomectomy at 17 + 0 weeks. One pedunculated leiomyoma was successfully removed.
Conclusion: Myomectomy can be performed and is safe for pedunculated fibroids in pregnancy. Depending on the clinical scenario, surgical removal may be indicated. Based on the size of the fibroids and expected adhesions, a laparotomy is a safe option and is not a contraindication for vaginal birth in the case of pedunculated fibroids. Myomas larger than 10 cm should be removed by laparotomy.
期刊介绍：
Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report".
The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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