<prompt> Which of these types of fibroid may be removed at the time of a cesarean section?Pedunculated fibroidBroad ligament fibroidCervical fibroidIntramural  <response>: 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. 