Clinical observation of a patient with a giant uterine fibroid detected for the first time in early pregnancy
Remneva O.V., Belnitskaya O.A., Kolyado O.V., Danilova I.M., Shmonova L.V.
Background: In recent years, there has been a rise in the number of uterine fibroid diagnoses, particularly among younger women of reproductive age. This has led to an increased number of cases where this condition is combined with pregnancy. In this regard, obstetricians and gynecologists increasingly have to decide on the tactics of managing this group of patients at the stages of preconception care, gestation, delivery and puerperium.
Case report: The paper presents a clinical case of a pregnant woman with a giant uterine fibroid. A 30-year-old primigravida was registered in the clinic at 6 weeks gestation. During the examination, a giant uterine fibroid was diagnosed for the first time. Myomectomy was performed for edema of the myomatous node at 15 weeks gestation. The patient had a full term delivery by cesarean section.
Conclusion: This was a rare case of myomectomy at 15 weeks gestation followed by a favorable pregnancy outcome in a patient with a giant uterine fibroid detected for the first time at an early stage.
Authors' contributions: Remneva O.V. – developing the concept and design of the study, editing the text and approval of the final version of the article; Belnitskaya O.A., Danilova I.M. – collecting and processing the material; Belnitskaya O.A., Kolyado O.V. – literature review, writing the text; Shmonova L.V. – preparing the images.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was conducted without sponsorship.
Ethical Approval: The authors received the necessary approval from the Ethical Review Board.
Patient Consent for Publication: The patient provided an informed consent for the publication of her data and images. All the patient’s data has been de-identified.
For citation: Remneva O.V., Belnitskaya O.A., Kolyado O.V., Danilova I.M., Shmonova L.V. Clinical
observation of a patient with a giant uterine fibroid detected for the first time in early pregnancy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (12): 187-191 (in Russian)
https://dx.doi.org/10.18565/aig.2025.145
Keywords
pregnancy
giant uterine fibroid
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Received 02.06.2025
Accepted 26.06.2025
About the Authors
Olga V. Remneva, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology with a Course of Postgraduate Education, Altai State Medical University, Ministry of Health of Russia, 656038, Russia, Altai Region, Barnaul, Lenin Ave., 40, +7(3852)757-946, rolmed@yandex.ru, https://orcid.org/0000-0002-5984-1109Olga A. Belnitskaya, PhD, Associate Professor at the Department of Obstetrics and Gynecology with the a Course of Postgraduate Education, Altai State Medical University, Ministry of Health of Russia, 656038, Russia, Altai Region, Barnaul, Lenin Ave., 40, +7(3852)566-946, belnickaya@yandex.ru, https://orcid.org/0000-0003-0212-5408
Olga V. Kolyado, PhD, Deputy Chief Physician, Altai Regional Clinical Perinatal Center, 656045, Russia, Altai Region, Barnaul, Fomina str., 154, +7(913)084-25-30,
olga.kolyado@yandex.ru, https://orcid.org/0000-0002-5812-4925
Irina M. Danilova, PhD, Head of the Department of Dispensary Supervision of High-Risk Patients, Altai Regional Clinical Perinatal Center, 656045, Russia, Altai Region, Barnaul, Fomina str., 154, danilova_im@mail.ru
Lyudmila V. Shmonova, PhD, Head of Gynecological Department, Altai Regional Clinical Perinatal Center, 656045, Russia, Altai Region, Barnaul, Fomina str., 154,
Lyuss@list.ru, https://orcid.org/0009-0001-6876-6913
Corresponding author: Olga V. Remneva, rolmed@yandex.ru
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