Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: a case report

被引：9

作者：

Dohbit, Julius Sama ^{[1
,2
]}

Meka, Esther Ngo Um ^{[1
,2
]}

Tochie, Joel Noutakdie ^{[3
]}

Kamla, Igor ^{[3
]}

Danwang, Celestin ^{[3
]}

Tianyi, Frank-Leonel ^{[4
]}

Foumane, Pascal ^{[1
,2
]}

Andze, Gervais Ondobo ^{[3
,5
]}

机构：

[1] Yaounde Gynaecoobstet & Paediat Hosp, Dept Obstet & Gynaecol, Yaounde, Cameroon

[2] Univ Yaounde I, Fac Med & Biomed Sci, Dept Obstet & Gynaecol, Yaounde, Cameroon

[3] Univ Yaounde I, Fac Med & Biomed Sci, Dept Surg & Special, Yaounde, Cameroon

[4] Mayo Darle Subdiv Hosp, Dept Gen Med, Banyo, Cameroon

[5] Yaounde Gynaecoobstet & Paediat Hosp, Dept Surg, Yaounde, Cameroon

来源：

BMC PREGNANCY AND CHILDBIRTH | 2019年 / 19卷 / 1期

关键词：

Uterine fibroid; Leiomyoma; Pregnancy; Aseptic necrobiosis; Red degeneration; MYOMECTOMY; TORSION; LEIOMYOMA;

D O I：

10.1186/s12884-018-2154-x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BackgroundUterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting.Case presentationA term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful.ConclusionThe authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.

引用

页数：5

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