Large Subserosal Leiomyoma with Omental and Bowel Adhesion Diagnosed during Pregnancy: A Case Report

Zeena Raad Helmi; Wassan Nori; Amenah Fadhil

doi:10.54361/ajmas.253S02

Authors

Zeena Raad Helmi Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq https://orcid.org/0000-0003-0524-8518
Wassan Nori Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq https://orcid.org/0000-0002-8749-2444
Amenah Fadhil Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq https://orcid.org/0000-0002-9962-2197

DOI:

https://doi.org/10.54361/ajmas.253S02

Keywords:

Uterine Leiomyoma, C-Section, Bleeding, Gestational Diabetes, Primigravida

Abstract

Uterine leiomyoma (or fibroids), represent the most frequent benign tumor of the uterus among reproductive age women. We present a 35-year-old primigravida diagnosed with gestational diabetes coexisting with a uterine fibroid that caused no complaints during pregnancy. At 38 weeks and during a scheduled elective C-section, a right fundo-lateral wall fibroid measuring 11 x 10 cm in size, with multiple omental and bowel adhesions, was found. It started with severe bleeding, which was efficiently controlled by pressure, thus avoiding hysterectomy. A drain was left in situ. On the 10th post-operative day, she had a normal pelvic ultrasound and was scheduled for elective myomectomy 6 months later. This case report explores the challenges in reducing intra- and postoperative bleeding from a large leiomyoma.