eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2023-08-04 11 7 119 122 10.12691/ajmcr-11-7-2 AJMCR20231172 article Bethel Tesfaye Bizuneh tesfayebethel8@gmail.com,tedikas19@gmail.com 1 Tewodros Kassahun Tarekegn tesfayebethel8@gmail.com,tedikas19@gmail.com 1 Hayat Yassin Nuri 2 Evelyn Cantillo Aguila 3 Efrata Sentayehu Teshome 3 Adey Gizachew Alemayehu 3 Tereza Mulatu Tafesse 4 Rediet Habtu Lebelo 4 Solomon Endale Dagnachew 4 Erdachew Gallo Beyene 5 Rediet Abebe Mekonnen 5 Michael Million Minase 6 Helen Assefa Berhe 7 Edlawit Mebrahtu Jember 8 Elul Simeneh Abiy 8 Sebelwongel Esubalew Bitew 8 Bisrat Nigussie Alemayehu 8 Department obstetrics and genecology-MuluG Health Services, Addis Ababa, Ethiopia Department of Paediatrics and Child health-MuluG Health Services, Addis Ababa, Ethiopia Department of Paediatrics, university of Medical Science Guantanamo, Cuba Department of Medicine, Hayat Medical College, Addis Ababa, Ethiopia. Department of Surgery Yekatite 12 hospital Medical College, Addis Ababa, Ethiopia. Department of Medicine, St. Paul¡¯s Hospital Millennium Medical College, Addis Ababa, Ethiopia Department of Medicine, Addis Ababa University, Tikurs Anbessa, College of Health Sciences, Ethiopia Bethel Tesfaye Bizuneh and Tewodros Kassahun Tarekegn are Co-PIs Department of Medicine Jimma University Oromia Region, Ethiopia Background: Due to concerns about uncontrolled hemorrhage and peripartum hysterectomy, routine myomectomy at the time of caesarean section has historically been denounced. That is still a hotly contested subject everywhere. Nonetheless, numerous case reports of caesarean myomectomy have recently been published, proving their safety and the absence of any serious sequelae. Case presentation: A 34 years old gravid 3 para2 with one previous caesarean section (CS) presented with a complains of passage of liquor per vaginum for10 hours which was yellow in color and odorless accompanied by mild abdominal cramp. Gestational age calculated from early ultrasound was 40weeks. She hads regular antenatal care (ANC) follow up and pregnancy was planned, wanted, and supported. The most recent ultrasonography (USG) result indicated a single viable intrauterine pregnancy and an intramural fibroid measuring 8.6 by 6.1 cm in the lower uterine segment's left anterolateral wall. Due of the fibroid's protrusion into the incision line and fear off wound dehiscence and delay in uterine wound healing post-surgery, the decision of myomectomy was taken. In order to prevent post-partum hemorrhage, proflacis oxytocin infusion treatment were given. Conclusions: If conducted safely, it can avert the additional morbidity of a future operation, justifying the procedure's cost-effectiveness. http://pubs.sciepub.com/ajmcr/11/7/2/ajmcr-11-7-2.pdf Myomectomy Pregnancy Fibroid Cesarean section