Management of Uterine Giant Myoma: Case Report

Year 2015, Volume: 5 Issue: 1, 34 - 38, 07.09.2015

Arzu Yavuz Bahar Astepe Hasan Terzi Ahmet Kale

https://doi.org/10.5505/sakaryamj.2015.48278

Cited By: 1

Abstract

Aim: To present the case of a patient with giant uterine leiomyoma.Case: A 47-year-old premenopausal presented with a history of menometroragia from last 3 months but abdominal distention and myoma uteri history for a period of approximately 7 years. Physical examination revealed a huge abdominal mass and an umbilical hernia. Her hemoglobin level was 7.1 g/dl. Ultrasonography and MRI examination showed a large mass that filled the abdomen. The patient underwent laparotomy, total hysterectomy and bilateral salpingo-ooferectomy. The histology revealed a leiomyoma weighing 9.8 kilograms.Conclusion: Patients with giant myomas are unusual cases. Conscientious perioperative management and multidisciplinary patient care are essential to prevent morbidity and mortality.

Keywords

giant uterine myoma, multidiscipliner approach

Dev Uterin Myomda Yönetim: Olgu Sunumu

Abstract

Amaç: Dev uterin myomu olan bir olguyu sunmayı amaçladık.Olgu: 47 yaşında premenapozal hasta bize son 3 aydır mevcut olan menometroraji ve 7 yıldır giderek artan karın şişliği ve myom uteri hikayesi ile başvurdu. Fizik muayenesinde dev abdominal kitle ve umbilikal hernisi vardı. Hastanın hemoglobin değeri 7.1 g/ dl idi. Ultrason ve MRI tetkiklerinde tüm batını dolduran dev kitle tesbit edildi. Hastaya laparotomi, total histerektomi ve bilateral salfingo-ooferektomi yapıldı. Patoloji sonucu 9.8 kilogram ağırlığında uterin leiyomyom olarak geldi.Sonuç: Dev uterin myomlu hastalar nadir görülen vakalardır. Morbiditeyi ve mortaliteyi önlemek için dikkatli perioperatif yönetim ve multidisipliner hasta bakımı gereklidir.

Keywords

dev uterine myom, multidisipliner yaklaşım

References

• Jonas HS, Masterson B. Giant uterine tumors. Obstet Gynecol 1977;50:2–4.
• Fraser IS, Critchley HO, Munro MG, et al. A process designed to lead to international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding. Fertil Steril 2007;87:466.
• Bansal T, Mehrotra P, Jayasena D, et al. Obstructive nephropathy and chronic kidney disease secondary to uterine leiomyomas. Arch Gynecol Obstet 2009;279:785.
• Pritts EA, Parker WH, Olive DL. Fibroids and infertility: an updated systemic review of the evidence. Fertil Steril 2009;91:1215.
• Casillas J, Joseph RC, Guerra Jr JJ. CT appearance of uterine leiomyomas. Radio-graphics 1990;10:999–1007.
• Djelmis J, Mayer D, Majerovic M, Radanovic B, Starcevic V. Giant uterine leiomyoma devascularized by embolization prior to surgical removal. Eur J Obstet Gynecol Reprod Biol 2001;99:278–280.
• Nappi L, Matteo M, Giardina S, Rosenberg P, Indraccolo U. Management of uterine giant myoma. Arch Gynecol Obstet 2008;278:61–63.
• Jones HW, Rock WA. Control of pelvic hemorrhage. In: Jones HW, Rock WA, eds. Te Linde’s operative gynecology. 10th ed. Philadelphia: Lippincott, Williams, and Wilkins, 2008:389–393.