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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Case report

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

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

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

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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.
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Metadata
Title
Diagnostic ambiguity of aseptic necrobiosis of a uterine fibroid in a term pregnancy: a case report
Authors
Julius Sama Dohbit
Esther Ngo Um Meka
Joel Noutakdie Tochie
Igor Kamla
Celestin Danwang
Frank-Leonel Tianyi
Pascal Foumane
Gervais Ondobo Andze
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-2154-x

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