Although subserosal leiomyomas are known to cause fewer obstetrical complications than submucosal or intramural fibroids during pregnancy, but large subserosal fibroids can distort uterine anatomy and complicate labour.Preterm labor associated with fibroids pose risk of obstructed labor and increased rates of caesarean section,risk of postpartum haemorrhage and thus an overall increase in maternal morbidity. Surgical management , particularly myomectomy is avoided in pregnancy due to the risk of haemorrhage but is necessitated in a few cases,as in this one. This case reports highlights the challenges and the surgical decision making in the management of a giant subserosal fibroid in the setting of preterm labor.

Keywords:  fibroid,myomectomy,caesarean,preterm

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Dr. Ayesha Parween AG

Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-800014