Myomectomy is a common gynaecologic procedure and may be performed during caesarean section in well
selected patients without adverse outcomes. The combined procedure is controversial amongst Obstetricians.
This is one of the case report studies in Federal Medical Centre, Owerri on caesarean myomectomy. It aims to
improve the skill, knowledge and mind-set of medical personnel in making decisions about caesarean
myomectomy, its complications and post-operative care.
The case is about a 33-year old primigravida who presented with a term pregnancy and a 16cm x 20cm
subserosal-intramural uterine myoma located at the fundus. Caesarean myomectomy was done for her with
minimal intra-operative haemorrhage. The myoma weighed 750g. Outcome was a life female neonate with
birth weight of 2.8kg and good Apgar score. There was no intra-operative or post-operative complication. Post-
operative period was uneventful.