CAESAREAN MYOMECTOMY - A CASE REPORT

INTRODUCTION -30 yrs old Primigravida with Fibroid complicating pregnancy was admitted for safe confinement at 37 weeeks of gestation. Her cycles were regular. She is married since one year and conceived spontaneously after 3 months. She had regular antenatal visit. She was diagnosed to have fibroid in the 1st trimester USG. In the subsequent follow up USG, fibroid tend to increase in size during 1st 2nd trimester, and there was decrease in size thereafter. On examination, her general condition was good and vitals were stable. Per abdomen shows Uterus term , Not acting, Head high mobile, FH good. A firm mass of size 8x6cm felt in suprapubic region. Per vaginal examination shows Cervix uneffaced, os closed, head felt through fornices above brim, lower border of mass felt through anterior lateral fornices, pelvis gynaecoid, no showdraining pv.Routine investigations were within normal limits