Giant uterine leiomyoma in a pregnant woman – case study and review of literature

The case of successful pregnancy outcome in a 39-year-old nulligravida with an enormous leiomyoma is presented. At 16th week of gestation patient began to complain of dyspnoea and abdominal pain. Due to rapid growth, high vascularization, worsening pain, respiratory symptoms and limited conditions for foetal development, surgery was taken. Repeat sonography was performed at the 20th week and normal fetal development consistent with a 2nd trimester pregnancy was observed. Singular fibroids 1–5 cm in diameter were visualized and no tumor growth was noted when compared with subsequent ultrasound studies. At the 39th week, the patient was referred to the hospital for preparations towards elective cesarean section due to a breech presentation. During the planned cesarean section, numerous subscapular fibroids were observed which were left without intervention. The patient delivered a live female neonate, in a good condition, weighting 3280 g. There were no complications during the surgery and the postpartum period.