This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2018, Subject name: Gynaecology & Obstetrics
Which of these types of fibroid may be removed at the time of a cesarean section? 
Select and explain. 
A. Pedunculated fibroid, B. Broad ligament fibroid, C. Cervical fibroid, D. Intramural
A: Pedunculated fibroid
Answer: A: Pedunculated fibroid 
Explanation: A myomectomy should not be performed during a caesarean section as the uterus is extremely vascular at this time and any attempt at a myomectomy can lead to torrential bleeding. However a pedunculated fibroid may be removed by clamping and ligating the pedicle, if easily accessible.