• Medicine · Jul 2019

    Case Reports

    Disappearance of the blood supply to a giant uterine myoma due to childbirth: A CARE-compliant article.

    • Lu-Jing Li, Xuan-Kun Liang, Xian-Xiang Wang, Dan Zeng, and Zuo-Feng Xu.
    • Department of Medical Ultrasonics, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen.
    • Medicine (Baltimore). 2019 Jul 1; 98 (28): e16056.

    RationaleGiant uterine myomas may be life-threatening due to pressure effects on the lungs and other contiguous organs.Patient ConcernsA 32-year-old pregnant Asian woman was admitted to our hospital early in her pregnancy with a pre-pregnancy history of multiple uterine myomas.DiagnosisShe was diagnosed with multiple giant uterine myomas in pregnancy.InterventionsNo intervention was performed on the woman.OutcomesA reduction in tumor size and disappearance of tumor blood supply were seen on conventional and contrast-enhanced ultrasounds (CEUS) on postpartum day 34. Mass volume gradually decreased and no blood flow signals were seen on CEUS during postpartum follow-up.LessonsChildbirth can block the blood supply of giant uterine myomas and reduce mass size. In such cases, childbirth may be considered therapeutic.

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