Tiarma Uli Pardede
Gatot Soebroto Central Army Hospital, IndonesiaPresentation Title:
Cystic Degeneration of Leiomyoma Permagna in Pregnancy: A Case Report
Abstract
Background & Objective: Degenerated Uterine Leiomyomas (ULs) is one of the most common complications of UL in pregnancy that may cause severe maternal symptoms. In this study, we present a rare case of UL permagna with cystic degeneration managed with Caesarean Section (CS) and myomectomy with uterus preservation.
Case Presentation: A 37-year-old primigravid woman was referred to the clinic with the chief complaint of huge abdominal mass that coincides with pregnancy. Physical examination showed that the abdomen was overdistended and upon palpation a mass was felt at processus xiphoideus height. Ultrasound examination showed that the foetus had IUGR (Estimated Fetal Weight below the 10th percentile of the fetal growth curve with oligohidramnion) and a cystic mass with a clear border was found. The patient was diagnosed with cystic degeneration of UL premagna and IUGR. The first-line management was CS and myomectomy as an effort to maintain the uterus because is the patient was a case of pregnancy with 15 years primary infertility. The overall outcome was satisfactory. The neonate was born alive, Ballard score equivalent to 32 weeks, and weighing around 1480g. The degenerated UL was successfully extracted. The patient was discharged 4 days post-operatively. The baby was treated in the NICU for prematurity and discharged after the baby's weight reached 1800 gr.
Conclusion: Degenerated UL permagna in pregnancy is a very rare and serious condition. It needs to be studied further as there are no global consensus on how to manage such cases.
Biography
Tiarma Uli Pardede is a Specialist in Obstetrics and Gynecology with over 15 years of experience. She completed her medical and specialist training at the University of Indonesia and currently practices at the Indonesian Central Army Hospital (RSPAD), providing comprehensive prenatal, delivery, postnatal, and gynecological care. She is known for her compassionate, patient-centered approach, emphasizing open communication and personalized care. Passionate about education, Dr. Tiarma mentors young doctors and regularly contributes to medical journals, sharing insights from her clinical experience. Early in her career, she served as a general practitioner in remote areas, which shaped her commitment to community-based women’s health. Currently, she is expanding her expertise in social obstetrics and gynecology, focusing on preventive care and reproductive health education. She is deeply committed to improving women’s health through holistic care, research, and advocacy, aiming to empower women across all stages of life.
Organization Location
1309 Coffeen Avenue, STE 1200, Sheridan, Wyoming 82801, USA
Mail us at
Program Enquiry
gynecologycongress@scientexconferences.org
General Enquiry
contact@scientexconferences.com
Registration Enquiry
finance@scientexconferences.com
gynecologycongress@scientexconferences.org
Our Social Presence
Call us at
USA :(+1) 267 766 9331