Laparoscopic Excision of a Pedunculated Uterine Leiomyoma in Torsion as a Cause of Acute Abdomen at 10 Weeks of Pregnancy
| Autor: | Christopher Efthimiadis, Ioanna Gkoutziomitrou, Eleni Georgakoudi, George Anthimidis, Christophoros Kosmidis, George Pantos |
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| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Abdominal pain medicine.medical_treatment Pregnancy Uterine Myomectomy medicine Humans Laparoscopy Uterine Neoplasm Abdomen Acute Uterine leiomyoma Leiomyoma medicine.diagnostic_test business.industry General surgery Articles General Medicine medicine.disease Uterine myomectomy body regions Pregnancy Trimester First Acute abdomen Uterine Neoplasms Female medicine.symptom business Pregnancy Complications Neoplastic |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| DOI: | 10.12659/ajcr.893382 |
| Popis: | Patient: Female, 31 Final Diagnosis: Acute abdomen due to pedunculated uterine leiomyoma in torsion Symptoms: Abdominal pain • vomiting Medication: Cefoxitin 2gr Clinical Procedure: Laparoscopic excision of the pendunculated uterine leiomyoma – laparoscopic appedicectomy Specialty: Surgery Objective: Unusual clinical course Background: Pregnancy outcomes after laparoscopic myomectomy are generally favorable, with a pregnancy rate that is comparable to or even higher than the rate associated with abdominal myomectomy. The purpose of this article is to present the case of a pregnant patient at 10 weeks of gestation who was submitted to successful laparoscopic myomectomy of a twisted pedunculated uterine leiomyoma. Case Report: A 31 year-old Greek pregnant woman complaining about acute abdominal pain was submitted to diagnostic laparoscopy which revealed a huge twisted uterine leiomyoma. Subsequently laparoscopic myomectomy was successfully carried out. Conclusions: Laparoscopic myomectomy is a technically challenging procedure with surgeon-specific limitations. Laparoscopy during pregnancy should be performed with utmost care and it proves to be a safe and effective procedure in hands of clinicians with sufficient experience in laparoscopic surgery. |
| Databáze: | OpenAIRE |
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