Febrile morbidity post laparoscopic myomectomy for symptomatic large submucous myoma in an adolescent girl

Authors

  • Prabha Agrawal Department of Obstetrics and Gynecology, Medicover Hospital, Hyderabad, Telangana, India
  • Rahul Agrawal Department of Internal Medicine Medicover Hospital, Hyderabad, Telangana, India
  • Sri Varshini Muthineni Department of Obstetrics and Gynecology, Medicover Hospital, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213871

Keywords:

Adolescent, Submucous myomas, Laparoscopic myomectomy, Post-operative fever

Abstract

The occurrence of post-operative fever after myomectomy without an apparent infectious cause has been reported in various studies. We here in report a case of an 18-year girl with abnormal uterine bleeding and severe anemia resulting from a large 5 cm submucosal fibroid. She underwent laparoscopic myomectomy. Surgery was uneventful. Post-operative she had fever of 100.4°F which lasted for 48 hours. Antibiotic coverage was continued for 48 hours. Her urine culture and hemogram were negative for infection. Early postoperative fever is most commonly caused by inflammatory changes rather than infectious causes. Large submucous fibroids can be managed by laparoscopy with excellent clinical outcomes and minimal morbidity.

Author Biographies

Prabha Agrawal, Department of Obstetrics and Gynecology, Medicover Hospital, Hyderabad, Telangana, India

Consultant and HOD Academics, Deptt of Obs and Gynae

Rahul Agrawal, Department of Internal Medicine Medicover Hospital, Hyderabad, Telangana, India

Consultant and HOD, Department of Internal Medicine

Sri Varshini Muthineni, Department of Obstetrics and Gynecology, Medicover Hospital, Hyderabad, Telangana, India

Fellowship in Department of Obstetrics and Gynecology

References

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Iverson RE Jr, Chelmow D, Strohbehn K. Myomectomy fever: testing the dogma. Myomectomy. 1999;72(1):104-8.

Mettler L, Schollmeyer T, Tinelli A. Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications. Obstetrics and Gynecology Int. 2012;791248.

Narayan M, Medinilla SP. Fever in the Post-operative patient. Emerg Med Clin North Am. 2013;31(4):1045-58.

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Published

2021-09-27

Issue

Section

Case Reports