• I Tsakiridis, I Kalogiannidis, A Mamopoulos, T Dagklis, Ch Nikolaidou, and A Athanasiadis.
• Third Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece.
• Hippokratia. 2021 Oct 1; 25 (4): 169171169-171.

BackgroundSmooth muscle tumors of uncertain malignant potential (STUMPs) are infrequent and represent an extremely rare cause of oligohydramnios in pregnant women.Description Of The CaseA 34-year-old woman at 25 weeks of gestation was referred with clinical features indicative of anemia. The transabdominal ultrasound revealed a fetus with appropriate growth for the gestational age, with oligohydramnios and a giant uterine mass. At 30 weeks of gestation, due to anhydramnios and repeated non-reassuring non-stress tests, a cesarean section was performed, followed by a myomectomy of a 9 kg mass. A neonate weighing 1,350 g was delivered (Apgar score 1΄: 4, 5΄: 7). The woman preserved her fertility and had an uneventful recovery during the puerperium, while the final histology revealed multiple STUMPs. The postoperative management included follow-up every six months for five years.ConclusionThis is the only reported case of a pregnant woman with STUMPs of this size that underwent myomectomy during the cesarean section and avoided hysterectomy. HIPPOKRATIA 2021, 25 (4):169-171.Copyright 2021, Hippokratio General Hospital of Thessaloniki.

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