{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T21:39:16Z","timestamp":1788212356095,"version":"build-2803163510"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T00:00:00Z","timestamp":1619222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T00:00:00Z","timestamp":1619222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Routine myomectomy at the time of cesarean section has been condemned in the past due to fear of uncontrolled hemorrhage and peripartum hysterectomy. It is still a topic of debate worldwide. However, in recent years, many case studies of cesarean myomectomy have been published validating its safety without any significant complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We describe the case of a 27-year-old gravida 2\u00a0para 1\u00a0live\u00a0birth 1 North Indian woman with one previous lower segment caesarean section (LSCS) at 35 weeks with labor pains and scar tenderness. Her recent ultrasound (USG) report suggested a single live intrauterine pregnancy with an intramural fibroid of 8.6 \u00d7 6.5 cm located in the left anterolateral wall of the lower uterine segment. The patient was taken up for emergency cesarean section along with successful removal of the myoma, which was bulging into the incision line, causing difficulty in closure of the uterine wound. Prophylactically, oxytocin infusion, bilateral ligation of uterine arteries, and injection vasopressin (diluted) was administered to decrease the blood loss. The patient was discharged after 7 days without any complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Routine myomectomy at the time of cesarean section is not a standard procedure and is not accepted worldwide. However, it may be considered a safe option in carefully selected cases in the hands of an experienced obstetrician with appropriate hemostatic technique. Large multicenter randomized controlled trials should be conducted to evaluate the best practice guidelines for cesarean myomectomy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02785-7","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T23:04:47Z","timestamp":1619219087000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Cesarean myomectomy: a case report and review of the\u00a0literature"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0336-4750","authenticated-orcid":false,"given":"Priyanka","family":"Garg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romi","family":"Bansal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,24]]},"reference":[{"key":"2785_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1752-1947-5-545","volume":"5","author":"M Ardovino","year":"2011","unstructured":"Ardovino M, Ardovino I, Castaldi MA, Monteverde A, Colacurci N, Cobellis L. Laparoscopic myomectomy of a subserous pedunculated fibroid at 14 weeks of pregnancy: a case report. J Med Case Rep. 2011;5:2\u20136.","journal-title":"J Med Case Rep."},{"key":"2785_CR2","doi-asserted-by":"publisher","first-page":"S161","DOI":"10.1016\/j.mjafi.2016.03.006","volume":"72","author":"SK Kathpalia","year":"2016","unstructured":"Kathpalia SK, Arora D, Vasudeva S, Singh S. Myomectomy at cesarean section: a safe option. Med J Armed Forces India. 2016;72:S161\u20133.","journal-title":"Med J Armed Forces India."},{"issue":"2","key":"2785_CR3","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/S1028-4559(10)60048-4","volume":"49","author":"PC Ma","year":"2010","unstructured":"Ma PC, Juan YC, De WI, Chen CH, Liu WM, Jeng CJ. A huge leiomyoma subjected to a myomectomy during a cesarean section. Taiwan J Obstet Gynecol. 2010;49(2):220\u20132.","journal-title":"Taiwan J Obstet Gynecol."},{"key":"2785_CR4","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1752-1947-5-571","volume":"5","author":"K Leach","year":"2011","unstructured":"Leach K, Khatain L, Tocce K. First trimester myomectomy as an alternative to termination of pregnancy in a woman with a symptomatic uterine leiomyoma: a case report. J Med Case Rep. 2011;5:2\u20135.","journal-title":"J Med Case Rep."},{"issue":"1","key":"2785_CR5","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1111\/j.1447-0756.2008.00873.x","volume":"35","author":"N Bhatla","year":"2009","unstructured":"Bhatla N, Dash BB, Kriplani A, Agarwal N. Myomectomy during pregnancy: a feasible option. J Obstet Gynaecol Res. 2009;35(1):173\u20135.","journal-title":"J Obstet Gynaecol Res."},{"key":"2785_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-019-01303-6","author":"AE Guler","year":"2020","unstructured":"Guler AE, Guler Z\u00c7D, Kinci MF, Mungan MT. Myomectomy during cesarean section: why do we abstain from? J Obstet Gynecol India. 2020. https:\/\/doi.org\/10.1007\/s13224-019-01303-6.","journal-title":"J Obstet Gynecol India."},{"issue":"2","key":"2785_CR7","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/S0020-7292(01)00586-0","volume":"76","author":"E Kwawukume","year":"2002","unstructured":"Kwawukume E. Myomectomy during cesarean section. Int J Gynecol Obstet. 2002;76(2):183\u20134.","journal-title":"Int J Gynecol Obstet."},{"issue":"2","key":"2785_CR8","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.ijgo.2004.12.035","volume":"89","author":"O Kaymak","year":"2005","unstructured":"Kaymak O, Ustunyurt E, Okyay RE, Kalyoncu S, Mollamahmutoglu L. Myomectomy during cesarean section. Int J Gynecol Obstet. 2005;89(2):90\u20133.","journal-title":"Int J Gynecol Obstet."},{"issue":"9","key":"2785_CR9","doi-asserted-by":"publisher","first-page":"44","DOI":"10.21276\/ijcmr.2019.6.9.44","volume":"6","author":"S Murmu","year":"2019","unstructured":"Murmu S. successful myomectomy during caesarean section: a case report. Int J Contemp Med Res [IJCMR]. 2019;6(9):44\u20135.","journal-title":"Int J Contemp Med Res [IJCMR]."},{"issue":"2","key":"2785_CR10","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.fertnstert.2006.01.027","volume":"86","author":"WM Liu","year":"2006","unstructured":"Liu WM, Wang PH, Tang WL, Te WI, Tzeng CR. Uterine artery ligation for treatment of pregnant women with uterine leiomyomas who are undergoing cesarean section. Fertil Steril. 2006;86(2):423\u20138.","journal-title":"Fertil Steril."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02785-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02785-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02785-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T23:12:33Z","timestamp":1619219553000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02785-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,24]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2785"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02785-7","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,24]]},"assertion":[{"value":"29 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study did not conduct any experiments on animals or humans. The patient consented to the use of her personal data for the purpose of this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. The authors have no association with financial or nonfinancial organizations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"193"}}