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Re: nullipara with broad ligament fibroid From: Bernard Cristalli (bcrist@club-internet.fr) Mon Dec 28 06:31:39 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: venkymegha: "Re: nullipara with broad ligament fibroid" Previous message: Thomas Ind: "Re: Trauma of vessels during laporoscopy" Maybe in reply to: Annamalaisamy Latha: "nullipara with broad ligament fibroid" Next in thread: venkymegha: "Re: nullipara with broad ligament fibroid" It was. She became pregnant, had a healthy baby and is doing well herself. -- Annamalaisamy Latha a écrit: > A 25 year old nulliparous lady, married 6 months ago presented with > complaints (by the husband) of difficulty during intercourse due to an > intravaginal mass obstructing. > > On examination, the cervix was pushed to the right side; the vagina was > filled with a mass of size 6cmx6cm. Ultrasound followed by CT scan > confirmed the presence of a broad lig.fibroid close to the cervix. No > separate line of demarcation seen between the cervix and the fibroid. > > As the lady is nulliparous, it was feared that surgical removal of the > fibroid had the risk of culminating in a hysterectomy due to possible > injury to uterine vessels, she was advised to wait for spontaneous > pregnancy failing which myomectomy was the plan. > The lady conceived,went through the pregnancy punctuated by abd.pain(? > due to red degeneration of the fibroid), and was delivered by LSCS at > term. Operative findings: Live baby 3.85Kg, Fibroid 8x8 cm in the left > fibroid ligament pushing the uterus to the right & up. > > Was it correct to allow the patient to get pregnant before myomectomy? > Patient wishes to have one more baby before myomectomy. Is it OK? > Please opine. Thanks. > -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: venkymegha: "Re: nullipara with broad ligament fibroid" Previous message: Thomas Ind: "Re: Trauma of vessels during laporoscopy" Maybe in reply to: Annamalaisamy Latha: "nullipara with broad ligament fibroid" Next in thread: venkymegha: "Re: nullipara with broad ligament fibroid"

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