{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:19:30Z","timestamp":1778869170896,"version":"3.51.4"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4t Augsburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives\/Hypothesis<\/jats:title>\n            <jats:p>Symptomatic pedunculated leiomyomas in pregnancy; review of the literature with special consideration of an example case.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study design<\/jats:title>\n            <jats:p>Retrospective narrative review with an example case.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Systematic evaluation of 37 reports.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Example case<\/jats:title>\n            <jats:p>A 36-year-old Caucasian primigravida was referred symptomatic at 16\u2009+\u20090\u00a0weeks due to a 13,5\u00a0cm myoma causing pain, constipation, urine retention and dysesthesias. Our patient underwent myomectomy at 17\u2009+\u20090\u00a0weeks. One pedunculated leiomyoma was successfully removed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Myomectomy can be performed and is safe for pedunculated fibroids in pregnancy. Depending on the clinical scenario, surgical removal may be indicated. Based on the size of the fibroids and expected adhesions, a laparotomy is a safe option and is not a contraindication for vaginal birth in the case of pedunculated fibroids. Myomas larger than 10\u00a0cm should be removed by laparotomy.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00404-024-07840-4","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T10:25:30Z","timestamp":1732703130000},"page":"1543-1552","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Review on Symptomatic pedunculated leiomyomas in pregnancy with special consideration of an example case"],"prefix":"10.1007","volume":"311","author":[{"given":"Jonas","family":"Bubmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl Mathis","family":"Wild","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Dannecker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Franitza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette","family":"Eser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina C.","family":"Seefried","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kroencke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Voisard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2623-3235","authenticated-orcid":false,"given":"Udo","family":"Jeschke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Garrido","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"7840_CR1","doi-asserted-by":"publisher","first-page":"646","DOI":"10.23736\/S2724-606X.21.04676-5","volume":"73","author":"G Loverro","year":"2021","unstructured":"Loverro G et al (2021) Myomectomy during pregnancy: an obstetric overview. 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C.D. is funded by Roche, AstraZeneca, TEVA, Mentor, and MCI Healthcare. All other authors declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent for research and publication purposes was obtained from the patient mentioned in the study before collecting data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent and Ethical approval"}}]}}