@article{ajmcr20231172,
author={{Bizuneh, Bethel Tesfaye and Tarekegn, Tewodros Kassahun and Nuri, Hayat Yassin and Aguila, Evelyn Cantillo and Teshome, Efrata Sentayehu and Alemayehu, Adey Gizachew and Tafesse, Tereza Mulatu and Lebelo, Rediet Habtu and Dagnachew, Solomon Endale and Beyene, Erdachew Gallo and Mekonnen, Rediet Abebe and Minase, Michael Million and Berhe, Helen Assefa and Jember, Edlawit Mebrahtu and Abiy, Elul Simeneh and Bitew, Sebelwongel Esubalew and Alemayehu, Bisrat Nigussie},
title={Successfully Performing a Cesarean Myomectomy: a Case Report},
journal={American Journal of Medical Case Reports},
volume={11},
number={7},
pages={119--122},
year={2023},
url={http://pubs.sciepub.com/ajmcr/11/7/2},
issn={2374-216X},
abstract={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. <b>Case presentation:</b> 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.},
doi={10.12691/ajmcr-11-7-2}
publisher={Science and Education Publishing}
}