Woldeyes WS, Kibiret Z and Bangu H
Majority of women with pregnancy and myoma show no or mild symptoms. Even when symptomathic, most can be treated conservatively. On rare occasions myomectomy may be necessary to alleviate the symptoms. This however carries a risk of massive bleeding and possible miscarriage. For myomectomies performed on none pregnant uterus, we can use a triple tourniquets to reduce associated bleeding. Its safety for antepartum myomectomies remains questionable. In this report, we present a rare case where antepartum myomectomy and removal of multiple fibroids was performed for a 28 years old primigravida at 9 weeks of gestation for the indication of severe persistent pain refractory to conservative management. We used triple tourniquets to reduce bleeding during the myomectomy. The pregnancy went well after the procedure and elective ceaserean section was performed at term with favorable outcome. Our case demonstrates safety of myomectomy and the use of triple tourniquets in selected cases of fibroids in pregnancy.
