Kaur H, Kumar N (2019) A Rare Case of Large Uterine Myoma in an Antenatal Women with Situs Inversus: A Case Report. Obstet Gynecol Cases Rev 6:144.


© 2019 Kaur H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2377-9004/1410144

A Rare Case of Large Uterine Myoma in an Antenatal Women with Situs Inversus: A Case Report

Harsharan Kaur1 and Naina Kumar2*

1Department of Obstetrics and Gynecology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Haryana, India

2Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Andhra Pradesh, India


Leiomyomas or fibroids are the most common benign tumor of uterus and it often increases in size during pregnancy. Its incidence in pregnancy is approximately 1.5-2% and is associated with increased risk of complication during pregnancy including abortions, preterm labor, red degeneration, malpresentations, increased cesarean section rates, postpartum hemorrhage. We hereby, discuss a case of large multi-lobed uterine fibroid complicating the second trimester of pregnancy. Our patient presented with a large leiomyoma of approximately 28 × 30 cm size at 28 weeks of gestation with acute red degeneration of fibroid with intra-capsular and intra-peritoneal bleed. Life saving subtotal hysterectomy was done and around 1.5-2 liters of blood was drained out from the abdominal cavity. The total weight of uterus with fibroid was around 15 kg and benign leiomyoma was confirmed on histopathological examination.