Torsion of pedunculated myoma uteri complicating pregnancy

Abstract

Uterine myomas are commonly found during pregnancy. Approximately 1.4 percent of all pregnancies are complicated with myomas. A 33-year-old primigravid woman at 30 weeks 6 days' gestation with severe preeclampsia was presented. During follow-up fetal distress in combination with acute abdomen and placental abruption developed. Emergency laparotomy revealed hemoperitoneum, abruptio placentae and torsion of pedunculated myoma which was 9cm in length, 8 cm in maximum width. Myomectomy with cesarean delivery was performed and a live 770gr infant was delivered. This report describes the torsion of a pedunculated myoma and hemoperitoneum in a pregnancy which occurs rarely.