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Medical Science Monitor Basic Research


Laparoscopic Excision of a Pedunculated Uterine Leiomyoma in Torsion as a Cause of Acute Abdomen at 10 Weeks of Pregnancy

Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)

Christophoros Kosmidis, George Pantos, Christopher Efthimiadis, Ioanna Gkoutziomitrou, Eleni Georgakoudi, George Anthimidis

Greece Department of Surgery, Interbalkan European Medical Center, Thessaloniki, Greece

Am J Case Rep 2015; 16:505-508

DOI: 10.12659/AJCR.893382

Available online: 2015-07-31

Published: 2015-07-31


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.

Keywords: Abdomen, Acute - etiology, Laparoscopy, Leiomyoma - surgery, Pregnancy, Pregnancy Complications, Neoplastic - surgery, Uterine Myomectomy, Uterine Neoplasms - surgery