case_images: PMC3970342_01
case_images: Myoma at ultrasonographic exam.
case_images: CRIOG2014-154347.001.jpg
case_images: PMC3970342_01_CRIOG2014-154347.001.jpg
case_images: fig1
case_images: Abdominal ultrasound confirmed a viable fetus and a subserous large implant myoma (diameter of 20 cm; Figure 1), 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.
case_images: Bulky leiomyoma occupying the pouch of Douglas with signs of compression of ureters, bladder, sigma-rectus, and the gestational chamber; the presence of bulky leiomyoma (20 x 18 cm) with large base of implant (12 cm) occupying the pouch of Douglas. MRI also showed other multiple nodes, of which the bigger was of diameter 4 cm.
case_images: CRIOG2014-154347.002.jpg
case_images: PMC3970342_01_CRIOG2014-154347.002.jpg
case_images: fig2
case_images: Myomectomy and uterine wall reconstruction.
case_images: CRIOG2014-154347.003.jpg
case_images: PMC3970342_01_CRIOG2014-154347.003.jpg
case_images: fig3
case_images: After accurate operative field exposure, the huge myoma was removed (Figure 3).