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1.  At times, myomectomy is mandatory to effect delivery 
Background
Excision of a leiomyoma has never been a choice during caesarean section.
Method
Myomectomy of a massive fibroid was necessitated prior to delivering the baby.
Results
Delivery of a healthy was effected by Classical caesarean section.
Conclusion
Leiomyoma in pregnancy is not an unknown entity and is a cause of concern for being a source of excruciating pain, at times, during the ongoing gestation.
Although performed rarely, it is sometimes necessary to remove a large myoma to effect delivery of the baby during Cesarean section as is depicted in the case being presented hereunder.
doi:10.1186/1750-1164-5-9
PMCID: PMC3217843  PMID: 22035449
pregnancy; leiomyoma; myomectomy

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