Laparoscopic Management of an Atypical Presentation of a Large Degenerated Fibroid during Pregnancy

Study Objective Key steps in management of atypical presentation of large uterine fibroids during pregnancy. Design McMaster University Medical Centre. Setting Case Review. Patients or Participants Single case. Interventions Expert Ultrasound evaluation. Measurements and Main Results Safe laparoscopic intervention guided by ultrasound for management of large fibroids during pregnancy. Conclusion This video highlights key strategic steps in evaluating an atypical presentation of uterine fibroid degeneration during pregnancy. Management strategies include a careful review of the patient's history, appropriate physical exam, and evaluation of prior imaging studies. The role of expert ultrasound evaluation is crucial to the patient's care as it provides more insight into the pathology encountered, which will facilitate an appropriate treatment plan after reviewing the available options. Collaboration with other teams is essential to provide a complete analysis that will ultimately ensure patients' autonomy in the process. In addition to the above, laparoscopic surgery is a feasible option during pregnancy that allows direct evaluation and specifically in this case diagnosis and surgical intervention with the aim to prolong a safe pregnancy. Key steps in management of atypical presentation of large uterine fibroids during pregnancy. McMaster University Medical Centre. Case Review. Single case. Expert Ultrasound evaluation. Safe laparoscopic intervention guided by ultrasound for management of large fibroids during pregnancy. This video highlights key strategic steps in evaluating an atypical presentation of uterine fibroid degeneration during pregnancy. Management strategies include a careful review of the patient's history, appropriate physical exam, and evaluation of prior imaging studies. The role of expert ultrasound evaluation is crucial to the patient's care as it provides more insight into the pathology encountered, which will facilitate an appropriate treatment plan after reviewing the available options. Collaboration with other teams is essential to provide a complete analysis that will ultimately ensure patients' autonomy in the process.