Open AccessInevitable caesarean myomectomy
Author(s) -
AO Igwegbe,
B.O. Nwosu,
JO Ugboaja,
E.N Monago
Publication year - 2010
Publication title -
nigerian journal of medicine/the nigerian journal of medicine
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2667-0526
pISSN - 1115-2613
DOI - 10.4314/njm.v18i3.51212
Subject(s) - medicine , caesarean section , blood loss , uterine rupture , postpartum haemorrhage , oxytocin , pregnancy , obstetrics , uterine myomectomy , surgery , general surgery , uterus , myoma , genetics , biology
The standard teaching is to avoid caesarean myomectomy as much as possible for the fear of the attendant severe haemorrhage. Classical caesarean section in spite of its risk of uterine rupture in subsequent pregnancies had been prescribed in its place. We report a case of a 32 year old nullipara who had an inevitable removal of a huge intramural fibroid in order to assess the baby. A high dose oxytocin infusion, and skillful surgery ensured minimal intra operative and post operative blood loss.