Successful Antepartum Myomectomy of a Large Pedunculated Fibroid
Bibliographic record
Abstract
Background: Uterine leiomyomas are generally asymptomatic during pregnancy, but in some cases can be associated with both maternal and fetal complications. The management of fibroids during pregnancy is largely expectant, and myomectomy is delayed until after delivery due to the risk of hemorrhage and postoperative morbidity. However, when there is severe pain, uncertain diagnosis, or massive size, expectant or medical management might not be adequate; thus, surgical intervention might be necessary. Antenatal myomectomy is controversial, and there is a paucity of literature describing the procedure. Case: A 30-year-old primigravida was diagnosed with a large pedunculated fibroid during her dating ultrasound. A physical examination revealed that this fibroid filled her abdominal cavity. The fibroid was also viewed under magnetic resonance imaging to delineate the blood supply and rule out any concerning features. An abdominal myomectomy was performed at 12 weeks' gestational age without disrupting the pregnancy. Results: Following surgery, the patient had an uncomplicated antenatal course and subsequently delivered a healthy female infant at 39 weeks. Conclusions: This report supports previous small case series and case reports describing successful antenatal abdominal myomectomy in carefully selected and appropriately counseled patients.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".