MANAGEMENT MULTIPLE UTERINE MYOMA IN PREGNANCY: A CASE REPORT

Abstract

Uterine myoma is a benign tumor originating from the smooth muscle of the uterus. In general, uterine myomas are asymptomatic and are found incidentally during ultrasound examination of pregnancy. We report that a 39-year-old woman with GIIP1001 admitted that she was 40 weeks pregnant and came with complaints of intermittent abdominal pain that started at 04.00 in the morning, getting worse 2 hours before MRS. Complaints accompanied by the discharge of blood mucus through the vagina. The patient was married 2 times and the distance between the first child and the second is 19 years.

               The patient's vital signs were within normal limits. On physical examination, there was a palpable mass with a smooth surface that seemed to stick to the uterus. Obstetrical examination revealed: uterine fundal height: 32cm, HIS + adequate, fetal heart rate 140 beats/minute, performance; head position. When a vaginal touch was performed, it was found that there was an opening of 1 cm with 25% thinning, the membranes were still intact. The patient was diagnosed with GIIP1001 UK 40-41 weeks+ Single live intra uterine + Primary old secondary + uterine myoma. The patient underwent cesarean section, the outcome of the baby and mother was good. Intraoperative findings found that there were 2 uterine myomas measuring more than 5 cm located in the subserosa and intramural so that the patient underwent a supravaginal hysterectomy. The age of the patient above 35 years is one of the considerations for tubectomy.

Keywords: Pregnancy, uterine myoma, Supravaginal Hysterectomy, Tubectomy