DEFYING TRADITION: SAFE AND SUCCESSFUL MYOMECTOMY DURING CAESAREAN SECTION FOR INCISION-DISTORTING FIBROIDS

Uterine fibroids are common in women of reproductive age, and their management during pregnancy poses significant clinical challenges. Caesarean myomectomy, once discouraged due to the risk of haemorrhage, is increasingly being performed in selected cases with favourable outcomes particularly when fibroids obstruct delivery or interfere with uterine closure.We report the case of a 38-year-old woman with a prior caesarean section and multiple uterine fibroids, including a large intramural fibroid at the uterine incision site. During elective caesarean delivery, myomectomy was successfully performed to enable proper closure of the uterine wound. This case underscores that, when indicated and executed with surgical precision and adequate haemostatic control, caesarean myomectomy can be both safe and beneficial offering a single definitive procedure and avoiding the need for future surgeries.