Caesarean myomectomy in case of anterior wall lower uterine segment myoma: a case report

Uterine fibroids are common benign tumor among women of the reproductive age group. Pregnancy with uterine myomas is considered high risk due to inherent fetal and maternal complications. Caesarean myomectomy is a safe and economical treatment, particularly when executed by a proficient surgeon in carefully chosen circumstances. We report the case of a 37-year-old G2P1L1 woman at 38+3 weeks of gestation. Ultrasound revealed a singleton live intrauterine pregnancy with an intramural fibroid measuring 5.4×4.7 cm located in the anterior wall, along the lower uterine segment, near the internal os. The patient underwent an elective cesarean section with concurrent myomectomy. A healthy baby was delivered, and the myomectomy was successfully performed. The patient was discharged on postoperative day nine without any complications. The case adds to growing evidence that performing myomectomy during cesarean section, particularly when the surgeon is experienced, is safe and economical for the patient.