Hysterotomy and Myomectomy for Retained Placenta in a Uterus:  A Case Report

Michael Tyodoo Maanongun; Jude Obotu Ben-Ameh; Joseph Chiahemba Agulebe; Michael Ushakuma Anenga

doi:10.9734/arjgo/2024/v7i1222

Research Article Open access CC BY 4.0

Hysterotomy and Myomectomy for Retained Placenta in a Uterus: A Case Report

Michael Tyodoo Maanongun, Jude Obotu Ben-Ameh, Joseph Chiahemba Agulebe, Michael Ushakuma Anenga

Asian Research Journal of Gynaecology and Obstetrics · pp. 153–158 · Published 25 Jul 2024

10.9734/arjgo/2024/v7i1222

Abstract

Retained placenta is a common complication, especially in mid-trimester miscarriage. However, when it is further complicated by the presence of multiple fibroids negating removal through the vagina route, it becomes a problematic finding necessitating laparotomy for both myomectomy and removal of the placenta. A 36-year-old G3P0+2 who had a miscarriage at 19 weeks 5 days gestation had a retained placenta with failed attempts at both medical and manual removal due to multiple uterine fibroids. She eventually had a hysterotomy and myomectomy with satisfactory results. The intraoperative challenges were removal of very many uterine fibroid seedlings of various sizes including large ones in a gravid uterus leading to an estimated blood loss of 4,500 ml and necessitating the transfusion of a total of eight units of blood. This case highlights one of the several complications of fibroids coexisting with pregnancy and its management.

Retained placenta laparotomy hysterotomy myomectomy

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Michael Tyodoo Maanongun, Jude Obotu Ben-Ameh, Joseph Chiahemba Agulebe, Michael Ushakuma Anenga (2024). Hysterotomy and Myomectomy for Retained Placenta in a Uterus: A Case Report. Asian Research Journal of Gynaecology and Obstetrics , 153–158. https://doi.org/10.9734/arjgo/2024/v7i1222

Affiliations

Michael Tyodoo Maanongun — Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.
Jude Obotu Ben-Ameh — Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.
Joseph Chiahemba Agulebe — Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.
Michael Ushakuma Anenga — Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.

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