Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: a case report.

Autor: Dohbit JS; Departement of Gynaecology and Obstetrics, Yaounde Gynaeco-Obstetrics and Paediatric Hospital, Yaoundé, Cameroon.; Departement of Gynaecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon., Meka ENU; Departement of Gynaecology and Obstetrics, Yaounde Gynaeco-Obstetrics and Paediatric Hospital, Yaoundé, Cameroon.; Departement of Gynaecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon., Tochie JN; Departement of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon. joeltochie@gmail.com., Kamla I; Departement of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon., Danwang C; Departement of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon., Tianyi FL; Department of General Medicine, Mayo Darle Sub-Divisional Hospital, Banyo, Cameroon., Foumane P; Departement of Gynaecology and Obstetrics, Yaounde Gynaeco-Obstetrics and Paediatric Hospital, Yaoundé, Cameroon.; Departement of Gynaecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon., Andze GO; Departement of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.; Departement of Surgery, Yaounde Gynaeco-Obstetrics and Paediatric Hospital, Yaoundé, Cameroon.
Jazyk: angličtina
Zdroj: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2019 Jan 07; Vol. 19 (1), pp. 9. Date of Electronic Publication: 2019 Jan 07.
DOI: 10.1186/s12884-018-2154-x
Abstrakt: Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting.
Case Presentation: A term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful.
Conclusion: The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.
Databáze: MEDLINE
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