CC BY-NC-ND 4.0 · AJP Rep 2024; 14(01): e85-e87
DOI: 10.1055/a-2202-4234
Case Report

A Case of an Obstructed Delivery by a Large, Lower Uterine Segment Fibroid Interlocked with a Fetal Mentum

1   Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
,
Hayley E. Miller
1   Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
,
Anne R. Waldrop
1   Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
,
Scarlett D. Karakash
1   Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
,
Kate A. Shaw
1   Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
› Institutsangaben

Abstract

Uterine leiomyomata are associated with many pregnancy complications and will likely become increasingly common as the average age of childbearing increases. We describe a case of an obstructed delivery by a large fibroid. A 37-year-old G2P1001 with a 10-cm anterior, lower uterine segment fibroid presented for labor induction. Labor was complicated by arrest of descent due to suspected obstruction of the fetal body by the fibroid after descent of the fetal head, and delivery during cesarean section was complicated by apparent interlocking of the fetal mentum with the fibroid. Large, anterior lower uterine segment fibroids have the potential to obstruct delivery of the fetal head or of the fetal body, and these patients should be counseled regarding the potential for complications via both vaginal and cesarean deliveries.



Publikationsverlauf

Eingereicht: 18. Oktober 2021

Angenommen: 22. Oktober 2023

Accepted Manuscript online:
01. November 2023

Artikel online veröffentlicht:
21. Februar 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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