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

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

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

Am J Case Rep 2015; 16:505-508

DOI: 10.12659/AJCR.893382

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

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