One case report of low-segment giant uterine fibroids removed combined with cesarean section for delivery

This case demonstrates that RCM is a safe, feasible, and innovative strategy for extreme cases where huge, strategically located fibroids (e.g., lower uterus) completely obstruct the birth canal. Its core advantages are: (1) solving the "unable to remove fetus" dilemma; (2) reducing bleeding risk via reverse timing (tumor first) and tourniquet; (3) avoiding a second surgery. RCM provides a valuable new option for managing these complex, high-risk pregnancies.