Scholarly Article
Large Subserosal Leiomyoma with Omental and Bowel Adhesion Diagnosed during Pregnancy: A Case Report
Zeena Raad Helmi, Wassan Nori, Amenah Fadhil
2025-07-12 · AlQalam Journal of Medical and Applied Sciences · University of Tripoli Alahlia
Abstract
Uterine leiomyoma (or fibroids), represent the most frequent benign tumor of the uterus among reproductive age women. We present a 35-year-old primigravida diagnosed with gestational diabetes coexisting with a uterine fibroid that caused no complaints during pregnancy. At 38 weeks and during a scheduled elective C-section, a right fundo-lateral wall fibroid measuring 11 x 10 cm in size, with multiple omental and bowel adhesions, was found. It started with severe bleeding, which was efficiently controlled by pressure, thus avoiding hysterectomy. A drain was left in situ. On the 10th post-operative day, she had a normal pelvic ultrasound and was scheduled for elective myomectomy 6 months later. This case report explores the challenges in reducing intra- and postoperative bleeding from a large leiomyoma.
Keywords
Uterine Leiomyoma, C-Section, Bleeding, Gestational Diabetes, Primigravida
Citation Details
AlQalam Journal of Medical and Applied Sciences, pp. 9-13