Cervical myoma causing colonic obstruction in the first trimester of pregnancy – a case report
Agger, Erik LU
; Bjartling, Carina
LU
and Vedin, Tomas
LU
(2023)
In Case reports in women's health
38.
- Abstract
- A 39-year-old nulliparous woman with a previously known cervical myoma was admitted to the obstetrics department during the first trimester with complaints of severe abdominal pain, lack of bowel movements and the suspicion of a clinical bowel obstruction. Because no literature on this exact condition could be found, clinical decisions were based on reports and practice in similar situations. Ultrasound revealed the progression of a cervical myoma (previously 9 cm across), now 12 × 12 × 11 cm in size and a distended large bowel. Sigmoidoscopy excluded intraluminal obstruction. The patient was treated with oral laxatives and enema without success and her condition deteriorated. The myomatous cervix was examined vaginally (bimanual... (More)
- A 39-year-old nulliparous woman with a previously known cervical myoma was admitted to the obstetrics department during the first trimester with complaints of severe abdominal pain, lack of bowel movements and the suspicion of a clinical bowel obstruction. Because no literature on this exact condition could be found, clinical decisions were based on reports and practice in similar situations. Ultrasound revealed the progression of a cervical myoma (previously 9 cm across), now 12 × 12 × 11 cm in size and a distended large bowel. Sigmoidoscopy excluded intraluminal obstruction. The patient was treated with oral laxatives and enema without success and her condition deteriorated. The myomatous cervix was examined vaginally (bimanual manoeuvre) with the patient under anaesthesia; however, attempts to dislodge the obstruction proved unsuccessful. After surgical consultation the patient was planned for an emergency laparoscopic sigmoidostomy. The post-operative course was uneventful and the patient discharged. She delivered a healthy child with caesarean section in gestation week 36. Bowel continuity was later laparoscopically restored in conjunction with a hysterectomy. This case illustrates the importance of active multidisciplinary management in a case of severe colonic obstruction caused by pregnancy-related obstruction in the small pelvis. In this case, colonic perforation and abortion of the fetus were both avoided. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/86edac81-0853-433a-b073-a972f57c6674
- author
- Agger, Erik
LU
; Bjartling, Carina
LU
and Vedin, Tomas
LU
- organization
- publishing date
- 2023-06-17
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cervical myoma, Colonic obstruction, Pregnancy, First trimester
- in
- Case reports in women's health
- volume
- 38
- article number
- e00506
- publisher
- Elsevier
- external identifiers
-
- scopus:85152734437
- pmid:37113654
- ISSN
- 2214-9112
- DOI
- 10.1016/j.crwh.2023.e00506
- language
- English
- LU publication?
- yes
- id
- 86edac81-0853-433a-b073-a972f57c6674
- date added to LUP
- 2023-04-19 10:34:59
- date last changed
- 2023-07-20 03:00:12
@article{86edac81-0853-433a-b073-a972f57c6674,
abstract = {{A 39-year-old nulliparous woman with a previously known cervical myoma was admitted to the obstetrics department during the first trimester with complaints of severe abdominal pain, lack of bowel movements and the suspicion of a clinical bowel obstruction. Because no literature on this exact condition could be found, clinical decisions were based on reports and practice in similar situations. Ultrasound revealed the progression of a cervical myoma (previously 9 cm across), now 12 × 12 × 11 cm in size and a distended large bowel. Sigmoidoscopy excluded intraluminal obstruction. The patient was treated with oral laxatives and enema without success and her condition deteriorated. The myomatous cervix was examined vaginally (bimanual manoeuvre) with the patient under anaesthesia; however, attempts to dislodge the obstruction proved unsuccessful. After surgical consultation the patient was planned for an emergency laparoscopic sigmoidostomy. The post-operative course was uneventful and the patient discharged. She delivered a healthy child with caesarean section in gestation week 36. Bowel continuity was later laparoscopically restored in conjunction with a hysterectomy. This case illustrates the importance of active multidisciplinary management in a case of severe colonic obstruction caused by pregnancy-related obstruction in the small pelvis. In this case, colonic perforation and abortion of the fetus were both avoided.}},
author = {{Agger, Erik and Bjartling, Carina and Vedin, Tomas}},
issn = {{2214-9112}},
keywords = {{Cervical myoma; Colonic obstruction; Pregnancy; First trimester}},
language = {{eng}},
month = {{06}},
publisher = {{Elsevier}},
series = {{Case reports in women's health}},
title = {{Cervical myoma causing colonic obstruction in the first trimester of pregnancy – a case report}},
url = {{http://dx.doi.org/10.1016/j.crwh.2023.e00506}},
doi = {{10.1016/j.crwh.2023.e00506}},
volume = {{38}},
year = {{2023}},
}