Bethel Tesfaye Bizuneh^1,, Tewodros Kassahun Tarekegn^1,, Hayat Yassin Nuri², Evelyn Cantillo Aguila³, Efrata Sentayehu Teshome¹, Adey Gizachew Alemayehu¹, Tereza Mulatu Tafesse⁴, Rediet Habtu Lebelo¹, Solomon Endale Dagnachew⁴, Erdachew Gallo Beyene⁵, Rediet Abebe Mekonnen¹, Michael Million Minase⁶, Helen Assefa Berhe⁷, Edlawit Mebrahtu Jember⁸, Elul Simeneh Abiy¹, Sebelwongel Esubalew Bitew¹, Bisrat Nigussie Alemayehu¹

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.

Myomectomy, Pregnancy, Fibroid, Cesarean section