Laparotomic Myomectomy in the 16th Week of Pregnancy
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Case Presentation
In January 2013, a 35-year-old primigravid Caucasian woman (BMI: 22) was referred to our university hospital in the 16th week of gestation for intractable pelvic pain. The medical history was uneventful. The patient reported a sense of pelvic heaviness, changes in urinary habits, lower abdominal discomfort, and unexplained back pain that had worsened over time. She had a normal white blood cell count but an increased value of serum creatinine (1.6?mg/dL). Obstetrical examination showed a large mass at the level of the posterior fornix. Abdominal ultrasound confirmed a viable fetus and a subserous large implant myoma (, a mild bilateral dilatation of the renal pelvis (2?cm on the right-hand side and 3.5?cm on the left), and extrinsic compression of the low ureter with involvement of the initial portion of the ureters....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970342/
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