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1.
Artigo | IMSEAR | ID: sea-232584

RESUMO

Routine myomectomy at the time of caesarean section has been condemned in the past due to fear of uncontrolled haemorrhage and peripartum hysterectomy. It is still a topic of debate worldwide. However, in recent years, many case studies of caesarean myomectomy have been published validating its safety without any significant complications like excessive blood loss. We describe the case of a 23-year-old nulliparous women at 38 weeks of pregnancy with history of previous abortion. Her ultrasound was suggestive of singleton live intrauterine pregnancy with multiple intramurals and subserosal uterine fibroids seen in fundus, body region, posterior and anterior myometrium with largest fibroid of size 9×6.1 cm. The patient was taken up for elective caesarean section along with caesarean myomectomy. Live baby was delivered and successful myomectomy was done. Prophylactically oxytocin drip was given and intra myometrial carboprost was given to avoid blood loss. Patient was discharged on post-operative day 12 without any complications. Routine myomectomy at the time of caesarean section is not a standard procedure. However, it may be considered a safe option in carefully selected cases in the hands of an experienced obstetrician.

2.
Artigo | IMSEAR | ID: sea-232698

RESUMO

Thirty-seven years old P3A1L3 patient presented to our outpatient department with pain abdomen for 20 days. Thirty-five days back she had taken MTP kit and then after one week, D&C was done at a primary care centre, presuming incomplete abortion. After this, she developed abdominal distension and couldn’t pass motions. Then she went to some other health care centre and few investigations were done, there. USG showed bulky, excessively enlarged uterus with echogenic material in endometrium, Molar pregnancy, Endometrial mass, Left sided grade 2 hydronephrosis. After exploratory laparotomy, left sided salpingectomy was done. Histopathology report was consistent with ectopic pregnancy.

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