关键词: 平滑肌瘤, 子宫肿瘤, 妊娠中期, 腹腔镜检查, 子宫肌瘤切除术

Abstract:

The pedicle torsion or red degeneration of uterine fibroids during pregnancy can cause abdominal pain and induce miscarriage. The conservative treatment with drugs is considered the gold standard. However, the surgical treatment may be performed during pregnancy if necessary, if the abdominal pain cannot be relieved. Surgery can be performed by laparotomy or laparoscopy to remove uterine fibroids, based on the type, size and location of uterine fibroids, the gestational age and the doctor′s experience. However, the surgery by single-port laparoscopy to remove uterine fibroids during the second trimester of pregnancy is rarely reported. This case was a threatened abortion caused by degeneration of multiple uterine fibroids in the second trimester. It was diagnosed as type Ⅵ uterine fibroids by magnetic resonance imaging. After the conservative treatment failed, a single-port laparoscopic myomectomy was performed. After operation, the pregnancy was going on, and successfully carried to term birth. This case provides a practical reference of the laparoscopic application in uterine myomectomy during pregnancy.

Key words: Leiomyoma, Uterine neoplasms, Pregnancy trimester, second, Laparoscopy, Uterine myomectomy