ArticleCureus2025
Postpartum Expulsion of an Infected Intramural Uterine Myoma: Rapid Growth in Pregnancy and Definitive Management by Abdominal Hysterectomy.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Uterine myomas during pregnancy can cause significant complications, but postpartum expulsion is rare, particularly from intramural lesions without a stalk. We report the case of a 40-year-old primigravida whose posterior wall intramural myoma enlarged from 3 cm to 21 cm during infertility treatment and pregnancy. The myoma caused inferior vena cava compression, leading to deep vein thrombosis, and remained stable in size after mid-gestation. Vaginal delivery at term was uneventful. Postpartum, the patient developed recurrent genital bleeding and inflammatory signs. Magnetic resonance imaging initially suggested red degeneration, but later revealed penetration of the myoma into the cervical canal, indicating expulsion. Intraoperative findings showed a necrotic, malodorous myoma; cultures grew
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