Hemorragias Graves do 3º e 4º Períodos do Trabalho de Parto e Miomas Submucosos

Elsa Calado^*, Claúdio Rebelo^*, Pedro Tiago Silva^*, Helena Belchior*, Ana Duarte^†, Fátima Magalhães^†

Serviços de, * Ginecologia e Obstetrícia e †Anatomia Patológica do Hospital Pedro Hispano, Matosinhos

 

Resumo

Os autores relatam dois casos clínicos de hemorragias graves, no periparto, em pacientes com leiomiomas submucosos e cuja miomectomia foi essencial para a normal evolução dos 3º e 4º períodos de trabalho de parto. No 1º caso, a resolução da hemorragia obteve-se pela dissecção digital e exérese de um mioma submucoso com 6,0 x 5,0 x 4,0cm.

No 2º caso, dada a situação de acretismo placentar em fibromioma submucoso istmico, foi realizada dequitadura manual com exérese em bloco do fibromioma e placenta (8 cm de diâmetro e 541,5 g respectivamente).

Palavras-chave:Hemorragia no parto, miomas, miomectomia

 

Abstract

Severe Haemorrhage of the 3th and 4th Period of Labour and Submucosal Leiomyomas

The authors present two cases of leiomyomas with submucosal location that were diagnosed in the immediate post partum stage in which myomectomy was essential for a normal evolution of the 3th and 4th period of labour. In the first case, the resolution of the haemorrhage was achieved by digital dissection of a submucosal myoma with 6,0 x 5,0 x 4,0 cm(s).

In the second case, due to a situation of retroplacental leiomyoma, a manual placental separation was performed with a block exertion of the leiomyoma (8cm in diameter) and the placenta (541,5g).

Key-words: Haemorrhage and labour, leiomyomas, myomectomy

 

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Correspondência:

Dr.ª Elsa Calado

Serviço de Ginecologia e Obstetrícia

Hospital de São João

Alameda Prof. Hernâni Monteiro

4200-319 Porto

e-mail: calado.elsa@clix.pt