Journal of

Case Reports and Images in Obstetrics and Gynecology

 
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Case Report
 
Successful elective cesarean myomectomy in a resource poor setting: A case report
Chidi O.U. Esike1, Okechukwu B. Anozie1, Onwe E. Ogah2, Robinson C. Onoh1, Richard Ewah3, Henry Obarezi1
1Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
2Department of Paediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
3Department of Anaesthesia, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.

Article ID: 100019Z08CU2016
doi:10.5348/Z08-2016-19-CR-12

Address correspondence to:
Dr Chidi O.U. Esike
Department of Obstetrics and Gynaecology
Federal Teaching Hospital, Abakaliki
Ebonyi State
Nigeria

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How to cite this article:
Esike COU, Anozie OB, Ogah OE, Onoh RC, Ewah R, Obarezi H. Successful elective cesarean myomectomy in a resource poor setting: A case report. J Case Rep Images Gynecol Obstet 2016;2:53–56.


Abstract
Introduction: Leiomyoma, the most common pelvic tumor of females especially among the Negroid race often complicates pregnancies. This is more in native African women. In spite of the numerous complications they can cause during pregnancy, surgical removal of myomas during cesarean sections is traditionally discouraged and very controversial because of fear of complications especially hemorrhage. Despite these controversies and fears, some reports have shown that myomectomy during cesarean delivery can be safe.
Case Report: We present a case of a 30-year-old primigravid who presented with huge multiple myomas coexisting with pregnancy and had successful elective cesarean myomectomy at term.
Conclusion: There is a need for well-controlled randomized trials to establish the safety or otherwise of cesarean myomectomy as this will be of immense benefit to our women in our mostly resource poor areas of practice.

Keywords: Cesarean myomectomy, Resource-poor setting, Successful


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Author Contributions
Chidi O.U. Esike – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Okechukwu B. Anozie – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Onwe E. Ogah – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Robinson C. Onoh – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Richard Ewah – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Henry Obarezi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Chidi O.U. Esike et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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