A 32-year-old female patient with 2 previous cesareans from last 32 weeks the size mass arising from the pelvis. She has been bleeding profusely for one month. Passing clots through USG shows 16 weeks 5 days pregnant with the funeral placenta.
No subchorionic hemorrhage and intramural fibrous measuring 25×20×18 cm fibroid. How to terminate her pregnancy without any complication? What can be done if she bleeds during s/e, internal iliac ligation, myomectomy, subtotal hysterectomy or total abdominal hysterectomy?
