Case Reports in Obstetrics and Gynecology

Case Report

Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks’ Gestation with Systematic Review of the Literature

Table 1

Characteristics of the relevant studies.
ReferenceNumber of patientsGestational age at diagnosis 
(weeks)		Gestational age at myomectomy (weeks)Type of surgeryFibroid maximum volume (cm)Mode of deliveryGestational age at deliveryNeonatal outcome
(Apgar, birthweight, pH)
De Carolis et al., 200118nd13LPT8CS398/8, 3150 g
nd23LPT40CS388/8, 2670 g
nd19LPT14VD368/9, 3080 g
nd17LPT21CS388/9, 3060 g
nd19LPT15 Fetal demise at 19 weeks
nd20LPT6VD419/9, 2970 g
nd19LPT12CS397/9, 3180 g
nd8LPT9CS409/9, 3300 g
nd12LPT8CS389/10, 2780 g
nd17LPT24CS389/9, 3900 g
nd15LPT10CS408/10, 3170 g
nd17LPT13CS399/10, 3100 g
nd6LPT15ndndnd
nd20LPT8CS399/10, 2860 g
nd10LPT16CS409/10, 3500 g
nd16LPT10CS399/10, 3930 g
nd13LPT14CS399/9, 3180 g
nd7LPT15CS389/10 - 2550 g
Domenici et al., 201411616LPT20CS388/9 - 3250 g
Michalas et al., 199511415LPT20CS392800 g
Danzer et al., 200111212LPT10CS379/10, 3235 g;
9/10, 2810 g
Lozza et al., 201111216LPT18CS369/9, 2280 g
Joó et al., 20011825LPT12CS403600 g
Çelik et al., 20025nd22LPT13CS38.6 +/− 1.110, 3200 g
nd18LPT10CS38.6 +/− 1.19, 3400 g
nd20LPT12CS38.6 +/− 1.110, 3600 g
nd16LPT15CS38.6 +/− 1.18, 3100 g
nd13LPT20CS38.6 +/− 1.19, 2800 g
Hasbargen et al., 200211818LPT15CS368/9, 2495 g
Umezurike and Feyi-Waboso, 200511919LPT32VD388/10, 3500 g
Usifo et al., 200711313LPT17CS383990 g
Suwandinata et al., 20091nd18LPTndCS378/9, 2950 g
Bhatla et al., 20091819LPT28VD382740 g
Leite et al., 200911st trimester17LPT10CS399/10, 3315 g
Isabu et al., 201011414LPTndCS372700 g
Leach et al., 201111111LPT14CS409/9, 4356 g
Doerga-Bachasingh et al., 20121910LPT15CS37nd
Jhalta et al., 201611313LPT16VD398/10, 3000 g
Kosmidis et al., 201511010LPS8ndndnd
Saccardi et al., 20151915LPS24CS414460 g, 7.2
Obara et al., 20141613VAG6VD402775 g
Currie et al., 201311111LPS8ndndnd
Kobayashi et al., 201312121LPT8CS372730 g
MacCiò et al., 20123819LPS11CS393150 g
2020LPS10VD403310 g
2020LPSndCS393050 g
Shafiee et al., 201211521LPS15CS38nd
Ardovino et al., 201111414LPS6VD403216 g
Müller Vranjes et al.11418LPT35CS3310/10, 1750 g, 7.28
Son et al., 201111818LPS9VD393740 g
Kasum 201011515LPT9VD38nd
Fanfani et al., 201012525LPS9VD402950 g
Adeyemi et al., 200711919LPT30VD397/10, 3500 g
Okonkwo and Udigwe, 200711924LPTndCSndnd
Dracea and Codreanu, 200611213LPT24VDndnd
Melgrati et al., 200512424LPS7VD399/9
Sentilhes et al., 200311717LPS5CS373530 g
Lolis et al., 200313nd16LPTndCS373340 g
nd15LPTndCS393600 g
nd19LPTndCS372970 g
nd16LPTndCS363000 g
nd15LPTnd Fetal demise at 15 weeks
nd15LPTndCS372740 g
nd16LPTndCS383180 g
nd16LPTndCS393515 g
nd16LPTndCS393190 g
nd19LPTndCS382920 g
nd17LPTndCS383520 g
nd16LPTndCS383000 g
nd15LPTndCS291606 g
Donnez et al., 20021Before pregnancy25LPT22CS352280 g
Williamson, 190812222LPT32VD23Neonatal death
Stewart, 190612020LPT24VD40nd
Wittich et al., 200011215LPT20CS379/9, 3275 g
Majid et al., 199711718LPT24 Fetal demise 19 weeks
Algara et al., 201511818LPS7VD24nd
Lockyer, 191412121LPTndVD402300 g
von Hoffmann, 191131616LPTndVD403630 g
2225LPTnd Fetal demise at 25 weeks
1415LPTndVD40nd
Andrews, 19101Before pregnancy9LPTndVD40nd
Swayne, 190822020LPTndndndnd
1616LPTndVD24nd
Doran, 190612021LPT10VD40nd
Evans, 189912020LPT7ndndnd
Exacoustòs and Rosati, 199313nd<26ndndN.G40 (8), preterm > 32 (5)nd
Burton et al., 19898nd13LPT18VD40nd
nd15LPT14 Fetal demise 15 weeks
ndndLPT5VD40nd
ndndLPT5VD40nd
ndndLPT5VD40nd
ndndLPT5VD40nd
ndndLPT5VD40nd
ndndLPT5ndndnd
Rella et al., 198011012LPTndVD27Neonatal death
Pelosi et al., 199511315LPS6CS39nd
Pelissier-Komorek et al., 201211013LPT22VD352280 g
Mollica et al., 1996188–1710–19LPT>10CS (17), VD (1)nd>7 (18), >2500 g (17), <2500 g (1)
Febo et al., 19973nd12–19LPTN.G.CS (2), abortion (1)37-38nd
Bonito et al., 20075nd9–15LPT 3.5–14.5CS (2), VD (3)38.29 +/− 0.83, 3200–4072 g
Vázquez Camacho et al., 20091716LPT6.2VD409/9
Makar et al., 198911217LPT 13,500 gCS389/9, 3950 g
Horno Liria, 196211616LPTndVD403600 g
Alanis et al., 20081712LPT30VD382330 g
Ardizzone, 19552788LPTndndndnd
88LPTndndndnd
88LPTnd Miscarriage at 9 weeks
2424LPTnd Fetal demise at 25 weeks
88LPTnd Miscarriage at 8 weeks
1616LPTndndndnd
88LPTndndndnd
88LPTndndndnd
1212LPTnd Fetal demise at 14 weeks
2020LPTndndndnd
1616LPTndndndnd
2020LPTndndndnd
2020LPTndndndnd
1212LPTndndndnd
1212LPTnd Fetal demise at 13 weeks
88LPTndndndnd
88LPTndndndnd
1212LPTnd Fetal demise at 13 weeks
1212LPTndndndnd
1616LPTnd Fetal demise at 17 weeks
88LPTndndndnd
1212LPTndndndnd
1212LPTndndndnd
1212LPTndndndnd
88LPTndndndnd
1212LPTnd Fetal demise at 12 weeks
1212LPTndndndnd
Cozzi, 196716nd12LPTndVD40nd
nd12LPTndVD40nd
nd8LPTndVD40nd
nd8LPTndVD40nd
nd16LPTndVD38nd
nd8LPTndVD40nd
nd12LPTndVD38nd
nd8LPTndVD40nd
nd16LPTndVD40nd
nd20LPTndVD36nd
nd8LPTndVD40nd
nd12LPTndVD40nd
nd12LPTndVD40nd
nd12LPTndVD40nd
nd16LPTndVD40nd
nd8LPTndVD40nd
Rochet et al., 196414ndndLPT10ndndnd
Sciannameo et al., 199612020LPT4ndndnd
nd, not determined; CS, cesarean section; VD, vaginal delivery; LPT, laparotomy; LPS, laparoscopy; VAG, vaginal surgery.