Successful Removal of Forty- Two Number Fibroid Masses during Caesarean Section in A Primigravid Woman in a Private Facility in a Low Resource Area: A Case Report

Mbamara Su, Ajoku S C
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Abstract

Uterine fibroid is the most common pelvic tumour in women of reproductive age. It has an incidence of 0.05 – 5%. Its prevalence peaks between 30 – 39 years. It is seven times (7x) more common among blacks than Caucasians [1]. Here, we present a 30-year-old primigarvid woman who had caesarean myomectomy in which 42 number of variously sized fibroid masses were enucleated in a private specialist hospital. This case report suggests that caesarean myomectomy does not appear to increase the risk of immediate or short term post-partum morbidity. It also shows that it is feasible to remove all the visible and palpable fibroid nodules during caesarean myomectomy with relative safety.
在资源匮乏地区的一所私立医院,一名初产妇剖宫产术中成功切除42个子宫肌瘤
子宫肌瘤是育龄妇女最常见的盆腔肿瘤。发病率为0.05 - 5%。其患病率在30 - 39岁之间达到高峰。黑人的发病率是白种人的7倍[1]。在这里,我们报告了一位30岁的初生女性,她在一家私立专科医院接受了剖宫产子宫肌瘤切除术,其中42个不同大小的肌瘤肿块被去核。本病例报告表明,剖宫产子宫肌瘤切除术似乎不会增加立即或短期产后发病的风险。在剖宫产子宫肌瘤切除术中,切除所有可见及可触及的肌瘤结节是可行的,且相对安全。
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