European journal of obstetrics, gynecology, and reproductive biology · 2025
Full-term delivery after antepartum vaginal myomectomy for prolapsed myoma causing uterus distortion: A case report and literature review.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kim Suhra, Kwon Guyeun, Kim Heeyon, Yun Hyewon, Kwon Hayan, Kwon Ja-Young
Аннотация
OBJECTIVE: Prolapsed cervical myoma with uterine distortion during pregnancy are rare.
CASE PRESENTATION: A 45-year-old woman at 30 weeks of gestation presented with a prolapsed mass and vaginal fluid leakage. A 9 × 8 × 8 cm3 prolapsed mass was observed outside the vaginal orifice, and preterm premature rupture of membranes (PPROM) was suspected. Transabdominal ultrasonography revealed an elongated cervix. Magnetic resonance imaging (MRI) indicated a cervical myoma causing mechanical pulling of the amniotic membrane, resulting in cervical elongation. The patient underwent antepartum vaginal myomectomy and manual reduction of uterine prolapse, which led to spontaneous resolution of PPROM. The subsequent pregnancy course was unremarkable.
CONCLUSIONS: Prolapsed myoma with uterine distortion during pregnancy are extremely rare. Antepartum vaginal myomectomy should be considered with caution to reduce the risk of preterm births.
CASE PRESENTATION: A 45-year-old woman at 30 weeks of gestation presented with a prolapsed mass and vaginal fluid leakage. A 9 × 8 × 8 cm3 prolapsed mass was observed outside the vaginal orifice, and preterm premature rupture of membranes (PPROM) was suspected. Transabdominal ultrasonography revealed an elongated cervix. Magnetic resonance imaging (MRI) indicated a cervical myoma causing mechanical pulling of the amniotic membrane, resulting in cervical elongation. The patient underwent antepartum vaginal myomectomy and manual reduction of uterine prolapse, which led to spontaneous resolution of PPROM. The subsequent pregnancy course was unremarkable.
CONCLUSIONS: Prolapsed myoma with uterine distortion during pregnancy are extremely rare. Antepartum vaginal myomectomy should be considered with caution to reduce the risk of preterm births.