Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: A case report: A case report

Julius Sama Dohbit; Esther Ngo Um Meka; Joel Noutakdie Tochie; Igor Kamla; Celestin Danwang; Frank Tianyi Tianyi; Pascal Foumane; Gervais Ondobo Andze

doi:10.1186/s12884-018-2154-x

Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: A case report: A case report

Julius Sama Dohbit, Esther Ngo Um Meka, Joel Noutakdie Tochie, Igor Kamla, Celestin Danwang, Frank Tianyi Tianyi, Pascal Foumane, Gervais Ondobo Andze

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting. Case presentation: A term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful. Conclusion: The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.

Original language	English
Article number	9
Journal	BMC Pregnancy and Childbirth
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s12884-018-2154-x
Publication status	Published - 7 Jan 2019
Externally published	Yes

Keywords

Aseptic necrobiosis
Leiomyoma
Pregnancy
Red degeneration
Uterine fibroid

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10.1186/s12884-018-2154-xLicence: CC BY

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@article{20c2c53e1d7a446f82eaa708f0688416,

title = "Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: A case report: A case report",

abstract = "Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting. Case presentation: A term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful. Conclusion: The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.",

keywords = "Aseptic necrobiosis, Leiomyoma, Pregnancy, Red degeneration, Uterine fibroid",

author = "Dohbit, \{Julius Sama\} and Meka, \{Esther Ngo Um\} and Tochie, \{Joel Noutakdie\} and Igor Kamla and Celestin Danwang and \{Tianyi Tianyi\}, Frank and Pascal Foumane and Andze, \{Gervais Ondobo\}",

year = "2019",

month = jan,

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doi = "10.1186/s12884-018-2154-x",

language = "English",

volume = "19",

journal = "BMC Pregnancy and Childbirth",

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TY - JOUR

T1 - Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: A case report: A case report

AU - Dohbit, Julius Sama

AU - Meka, Esther Ngo Um

AU - Tochie, Joel Noutakdie

AU - Kamla, Igor

AU - Danwang, Celestin

AU - Tianyi Tianyi, Frank

AU - Foumane, Pascal

AU - Andze, Gervais Ondobo

PY - 2019/1/7

Y1 - 2019/1/7

N2 - Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting. Case presentation: A term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful. Conclusion: The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.

AB - Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting. Case presentation: A term pregnant Cameroonian woman was admitted to our maternity unit with clinical findings suggestive of a strangulated umbilical hernia. She underwent an emergency caesarean section which fortuitously revealed aseptic necrobiosis of a uterine fibroid, managed within the same surgical intervention by myomectomy. Her post-operative course was uneventful. Conclusion: The authors highlight the need for a high index of suspicion by healthcare providers, as well as the need for a multidisciplinary approach for a favourable maternal and foetal outcome.

KW - Aseptic necrobiosis

KW - Leiomyoma

KW - Pregnancy

KW - Red degeneration

KW - Uterine fibroid

U2 - 10.1186/s12884-018-2154-x

DO - 10.1186/s12884-018-2154-x

M3 - Article

SN - 1471-2393

VL - 19

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

IS - 1

M1 - 9

ER -

Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: A case report: A case report

Abstract

Keywords

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