Perilous myoma in the puerperium: A case report

Abstract

Leiomyoma, a benign solid tumour found in the female genital tract, affects 3%-13% of pregnancies. These growths occur as sub serosal, intramural, or submucosal tumours. Approximately 10%–30% of pregnant women experience fibroid-related complications, such as spontaneous abortion, preterm labour, soft tissue dystocia, uterine inertia, feto pelvic disproportion, fetal malposition, and postpartum hemorrhage and a higher risk of caesarean delivery. This case report aims to shed light on the complexities arising in the postpartum period for women previously diagnosed with large fibroids during pregnancy. By exploring a specific case, this report emphasizes the importance of understanding and addressing these complications comprehensively. A 27-year-old primigravida sought antenatal care at 8 weeks of gestation with a 6cm intramural fibroid. Her pregnancy progressed smoothly, leading to a healthy vaginal delivery. However, at 7 weeks postpartum, she experienced pelvic discomfort, heavy lochia, and bleeding. Imaging revealed a submucosal fibroid protruding into the endometrial cavity with degenerating component Myomectomy performed. This case underscores the necessity of a comprehensive understanding of complications associated with large fibroids, spanning both the antenatal and postpartum periods. Heightened awareness and timely intervention are crucial to ensuring optimal outcomes for both maternal and foetal health.