Severe Abdominal Colic Pain During Pregnancy; A Case Report of Degenerate Uterine Leiomyoma

Severe Abdominal Colic Pain During Pregnancy; A Case Report of Degenerate Uterine Leiomyoma

Uterine leiomyoma and fibroma are the same name of the most common benign tumors of uterine and have been diagnosed on peri-menopausal ages. Even most of the women don’t have any problem with fibroma’s during their pregnancy, there is an increasing data about some complications in the literature. Here, we presented a case report women 33 years old at 20th week of gestation, admitted to our clinic with acute and colic abdominal pain with healthy fetus and growing fibroma. To our knowledge this is the first case report revealed that severe pain of fibroma can be treated with selected analgesics and it can spontaneously regress after the degeneration phase. 

___

  • 1- Vitale SG, Padula F, Gulino FA. Management of uterine fibroids in pregnancy: recent trends. Curr Opin Obstet Gynecol. 2015;27:432-7.
  • 2- Vilos GA, Allaire C, Laberge PY, et al. The management of uterine leiomyomas. J Obstet Gynaecol Can 2015; 37:157–181.
  • 3- Benaglia L, Cardellicchio L, Filippi F, et al. The rapid growth of fibroids during early pregnancy. PloS One 2014; 9:e85933.
  • 4- Piazze Garnica J, Gallo G, Marzano PF, et al. Clinical and ultrasonographic implications of uterine leiomyomatosis in pregnancy. Clin Exp Obstet Gynecol 1995; 22:293–297.
  • 5- Sachan R, Patel ML, Sachan P, Arora A. Complete axial torsion of pregnant uterus with leiomyoma. BMJ Case Rep 2014; 2014: doi: 10.1136/bcr-2014- 205558.
  • 6- Deshpande G, Kaul RPM. A case of torsion of gravid uterus caused by leiomyoma. Case Rep Obstet Gynecol 2011; 2011:206418. doi: 10.1155/2011/206418.