BibTex RIS Kaynak Göster

Management of Uterine Giant Myoma: Case Report

Yıl 2015, , 34 - 38, 07.09.2015
https://doi.org/10.5505/sakaryamj.2015.48278

Öz

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.

Kaynakça

  • 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.

Dev Uterin Myomda Yönetim: Olgu Sunumu

Yıl 2015, , 34 - 38, 07.09.2015
https://doi.org/10.5505/sakaryamj.2015.48278

Öz

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.

Kaynakça

  • 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.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Arzu Yavuz Bu kişi benim

Bahar Astepe Bu kişi benim

Hasan Terzi Bu kişi benim

Ahmet Kale Bu kişi benim

Yayımlanma Tarihi 7 Eylül 2015
Gönderilme Tarihi 7 Eylül 2015
Yayımlandığı Sayı Yıl 2015

Kaynak Göster

AMA Yavuz A, Astepe B, Terzi H, Kale A. Dev Uterin Myomda Yönetim: Olgu Sunumu. Sakarya Tıp Dergisi. Mart 2015;5(1):34-38. doi:10.5505/sakaryamj.2015.48278

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