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A Journal on Internal Medicine and Pharmacology

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2011 June;170(3):201-6

language: Italian

Management of uterine fibroma during pregnancy: a case report

Vitale S. G., Giuca R., Cianci S., Matarazzo M. G., Gulino F. A., Giuffrida L., Cavallaro A., Panella M.

Operative Unity of Ginecology and Obstetrics, Azienda Ospedaliera Universitaria , “Policlinico Vittorio Emanuele”, University of Catania, Catania, Italy


The fibroma is the most common benign tumour of the uterus. It originates from the uterine muscle, it has a rather hard texture and it is separated from the myometrium by a thick layer of connective tissue, without the presence of a real capsule. It may be single, multiple and with different sizes. The fibroma are often asymptomatic, but they can cause menorrhagia, menometrorragia, important compression, pain (for growth, degeneration, hemorrhage, or torsion of a pedunculated fibroids), urinary or bowel symptoms (e.g., urinary frequency or tenesmus bladder, constipation), recurrent miscarriages or infertility; they are often accompanied by anemia resulting from recurrent blood loss. the present case report is about the history of a thirty year old patient with uterine myoma, pregnant, that in the 24 week was admitted to our department for pelvic pain. It was found a correlation between pregnancy’ s continuation and pain. After practised medical treatment and monitoring ultrasound, the patient is discharged with the recommendation to carry out appropriate checks. During 37 week the patient returns in the same hospital with worsening symptoms, anemia, and evidence of colliquation’ s area in myoma, highlighted with ultrasound. Performed the cesarean section and myomectomy, the histological examination of surgical piece deposes for red myoma with superimposed phenomena of widespread hemorrhagic necrosis.

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