INFLUENCE OF MULTIPLE UTERINE FIBROIDS AND DERMOD CYST ON UNFAVORABLE PREGNANCY OUTCOME (case report)

Abstract

Relevance. The prevalence of uterine fibroids during pregnancy, reported in some studies, ranges from 1.6 to 16.7%, varying from one trimester to another. Ovarian tumors during pregnancy occur in 0.1-3.4% of women. Due to the fact that publications describing the features of the gestational period in patients with ovarian teratomas are few, this article presents a clinical case of an ovarian dermoid cyst diagnosed during cesarean section. Objective: to study the features of an unfavorable outcome of uterine fibroids on the outcome of pregnancy, as well as the onset of pregnancy in dermoid cysts. Materials and methods of the study. The birth histories of patients with unfavorable pregnancy outcomes for the first quarter of 2025 in the maternity complex No. 3 in Samarkand were studied. We present you a clinical case of a combination of gynecological pathology with pregnancy, which was the reason for hysterectomy. A clinical and laboratory examination of a patient with multiple uterine myoma during pregnancy was conducted. Research results. During this pregnancy, no clinical manifestations or ultrasound signs of dermoid were noted. All blood and urine test results were within normal limits. However, during operative delivery performed due to multiple fibroids, a space-occupying lesion measuring 8 x 10 cm and 10 x 10 cm was found in the abdominal cavity to the right and left of the uterus in the area of ​​the appendages. The tumor was removed, and upon dissection of the macropreparation, a conclusion was made about the presence of ovarian dermoid. Subsequent pathological and histological examination confirmed the assumption that the space-occupying lesion belonged to the subgroup of ovarian dermoid cysts. Conclusions. Although antenatal surgery was safe, there are some risks associated with abdominal surgery for pregnant women. As a result, the treatment strategy should be selected based on the risk-benefit analysis of the characteristics of the appendages and gestational age. Pregnant patients with fibroids are subject to a high level of complications in the prenatal, intrapartum and postpartum periods.