Ultrasound-guided aspiration of large cystic uterine fibroids during pregnancy - description of a novel technique.
Lauren Berg, Pat O'Brien, Vadivu Palaniappan et al.
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Case in brief
This case series details a novel technique for managing large cystic uterine fibroids in pregnant patients experiencing dyspnoea due to diaphragm pressure. Three patients underwent transabdominal ultrasound-guided aspiration of fibroids under local anaesthesia between 24 and 31 weeks' gestation, with fluid volumes aspirated of 600 ml, 1700 ml, and 2000 ml. All patients successfully continued their pregnancies until elective caesarean delivery at 34 to 37 weeks.
Diagnostic / clinical pearl
Antenatal ultrasound-guided aspiration of cystic fibroids can effectively alleviate respiratory symptoms in pregnant patients, allowing for continued pregnancy without significant risks.
Why it matters
This technique offers a non-invasive alternative to surgical intervention, reducing the risk of preterm birth and associated neonatal complications.