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Arquivos de Medicina

On-line version ISSN 2183-2447

Arq Med vol.19 no.4 Porto July 2005

 

Hemorragias Graves do 3º e 4º Períodos do Trabalho de Parto e Miomas Submucosos

Elsa Calado*, Claúdio Rebelo*, Pedro Tiago Silva*, Helena Belchior*, Ana Duarte†, Fátima Magalhães†

Serviços de, * Ginecologia e Obstetrícia e †Anatomia Patológica do Hospital Pedro Hispano, Matosinhos

 

Resumo

Os autores relatam dois casos clínicos de hemorragias graves, no periparto, em pacientes com leiomiomas submucosos e cuja miomectomia foi essencial para a normal evolução dos 3º e 4º períodos de trabalho de parto. No 1º caso, a resolução da hemorragia obteve-se pela dissecção digital e exérese de um mioma submucoso com 6,0 x 5,0 x 4,0cm.

No 2º caso, dada a situação de acretismo placentar em fibromioma submucoso istmico, foi realizada dequitadura manual com exérese em bloco do fibromioma e placenta (8 cm de diâmetro e 541,5 g respectivamente).

Palavras-chave:Hemorragia no parto, miomas, miomectomia

 

Abstract

Severe Haemorrhage of the 3th and 4th Period of Labour and Submucosal Leiomyomas

The authors present two cases of leiomyomas with submucosal location that were diagnosed in the immediate post partum stage in which myomectomy was essential for a normal evolution of the 3th and 4th period of labour. In the first case, the resolution of the haemorrhage was achieved by digital dissection of a submucosal myoma with 6,0 x 5,0 x 4,0 cm(s).

In the second case, due to a situation of retroplacental leiomyoma, a manual placental separation was performed with a block exertion of the leiomyoma (8cm in diameter) and the placenta (541,5g).

Key-words: Haemorrhage and labour, leiomyomas, myomectomy

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

REFERÊNCIAS

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5 - Rice JP, Ray HH, Mahony BS. The clinical significance of uterine leiomyomas in pregnancy. Am J Obstet Gynecol 1989;160:1212-6.

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7 - Winer-Muram HT, Muram D, Gillieson MS. Uterine myoma in pregnancy. J Assoc Can Radiol 1984;35:168-70.

8 - Davis JL, Ray-Mazumder S, Hobel CJ, Baley K, Sassoon D. Uterine myoma in pregnancy: Ultrasound study. Int J Gynaecol Obstet 1989;28:109-17.

9 - Akrivis Ch, Varras M, Bellou A. Primary postpartum haemorrhage due to a large submucosal nonpedunculated uterine leiomyoma: a case report and review of the literature. Clin Exp Obstet Gynecol 2003;30:156-8.

 

Correspondência:

Dr.ª Elsa Calado

Serviço de Ginecologia e Obstetrícia

Hospital de São João

Alameda Prof. Hernâni Monteiro

4200-319 Porto

e-mail: calado.elsa@clix.pt

 

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