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Intruduction: The leyomyoma is the most common gynaecological tumor. Uterine myomas during pregnancy occur in 2 to 10% of all cases. One tenth of those may lead to complications of the pregnancy. According to most ultrasounds studies myomas remain the same size or become smaller during pregnancy.Case: This case report is about 34 year old woman, nullipara, in 14th week of pregnancy. Through ultrasound observation was found subserous pediculated myoma node with diameter of 20cm. When the pregnancy was found, the myoma was not. A median laparotomy with myomectomy was performed without any complications. On the 38th week of pregnancy a healthy, 3400g, full-term baby was delivered by cesarean section.Conclusion: Though rarely, rapidly growing and very large myomas can be an indication for miomectomy during the second trimester of pregnancy. Laparotomic myomectomy should be preferred over laparoscopic myomectomy in cases of very large myomas, due to prolonged operative time, inapplicability of in-bag morcellation and related risks of dissemination of a leiomyoma or leiomyosarcoma. |
