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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2021, Vol. 14 ›› Issue (02): 116-118. doi: 10.3877/cma.j.issn.1674-6899.2021.02.011

• New Technology and New Method • Previous Articles     Next Articles

Treatment of uterine round ligament myoma in early pregnancy by TU-LESS: a case report

Yongpeng Wang 1, Dawei Sun 2 , ( )   

  1. 1. Department of Gynecology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, China
    2. Department of Gynecology, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2021-02-27 Online:2021-04-30 Published:2021-07-09
  • Contact: Dawei Sun

Abstract:

Objective

To investigate the clinical characteristics, diagnosis and treatment of uterine round ligament myoma in early pregnancy, so as to improve the understanding of gynecologists and obstetricians, and pay attention to the application of laparoendoscopic single-site surgery.

Methods

A case of early pregnancy complicated with uterine round ligament myoma in Peking Union Medical College Hospital was selected, describing the process of diagnosis and treatment, also clinical outcome. The characteristics and diagnosis and treatment strategy of the disease were summarized combined with literature review.

Results

The pregnancy was terminated before the diagnosis of round ligament leiomyoma. The second stage of UM-LESS exploration was used, and the tumor was finally diagnosed and removed. The operation was successful. The patients were followed up for 1 month and recovered well without any complications.

Conclusions

Uterine round ligament myoma is very rare, especially during pregnancy. It is easy to be misdiagnosed and MRI may be helpful for the correct diagnosis. UM-LESS plays an important role in the diagnosis and treatment of the disease.

Key words: Pregnancy, Uterine round ligament myoma, Transumbilical laparoendoscopic single-site surgery

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