Symptomatic Uterine Myoma

  • Goran Augustin


Uterine fibroids, also known as leiomyomas or myomas, are the most common benign uterine neoplasms, especially over the age of 30. They are now observed more frequently in pregnancy because many women are delaying childbearing beyond that age. Uterine myoma can be asymptomatic or symptomatic with presentations that include red degeneration, spontaneous bleeding, obstructed labor, and torsion of the gravid uterus. It is important to accurately define the type of uterine myoma presentation. All these presentations can be defined by transabdominal or transvaginal sonography or in unequivocal cases by abdominal MRI. If bleeding is the cause, then radiologic or surgical interventions to stop the bleeding are mandatory. If red degeneration is the cause of acute abdominal pain, the therapy is conservative and symptomatic. Torsion of the gravid uterus is discussed in the separate chapter. Potential of obstructed labor is a complex issue that should be diagnosed before the labor starts to prevent emergency obstetric interventions.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Goran Augustin
    • 1
    • 2
  1. 1.School of Medicine University of ZagrebZagrebCroatia
  2. 2.Department of SurgeryUniversity Hospital Centre ZagrebZagrebCroatia

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