Abstract:

Uterine fibroid is the most common benign tumors of female reproduction system of reproductive age. Pregnancy combined with hysteromyoma is a common pregnancy complication, which belongs to the category of high risk pregnancy. There are still some disputes about the management of pregnancy complicated with hysteromyoma. A complex case of postpartum uterine fibroid with red degeneration and puerperal infection after abdominal myomectomy, and combined with early postoperative inflammatory small bowel obstruction, was reported. Pathological diagnosis showed the hysteromyoma with red degeneration and necrosis, chronic suppurative endometritis. The culture of uterine secretions suggested the infection with Granulicatella elegans. Combined with this case report, we also review the management of hysteromyoma during prenatal and gestation period, the treatment strategies of pregnancy complicated with red degeneration of hysteromyoma and puerperal complications such as puerperal infection and postpartum hemorrhage, as well as the preventive measures, diagnosis and treatment of early postoperative inflammatory small bowel obstruction.

Key words: Pregnancy, Uterus, Myoma, Puerperal infection, Intestinal obstruction, Case reports