Abstract

GIANT UTERINE LEIOMYOMA: A CASE REPORT AND LITERATURE REVIEW

Nedham Aysha* and Nawal Dayoub

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Abstract

Background: Uterine leiomyoma are the most common uterine pathology among all female pelvic pathologies. The location of a uterine fibroid plays an important factor in symptoms presentation. Submucous fibroids and intramural fibroids could present at early stages with PV bleeding, recurrent miscarriages, or dysmenorrhea. However subserosal fibroids will go unnoticed for a long time until they become big enough to cause pressure effect or an obvious mass. Huge leiomyomas can grow to enormous sizes, and giant leiomyomas are the ones that weigh >11.4 kg. With many cases published regarding that. Case: We report a case of a 43 years old nulliparous lady who presented for a regular medical checkPup after developing a huge abdominal mass extending from below the symphysis pubis reaching up to the xiphisternum. That was ignored for more than 3 years for personal issues, She was fully investigated and councilled regarding methods of management and prognosis. Patient underwent Laparotomy Myomectomy of around was 35x13x18cm myoma that weighs 11.802 kg. Histopathology report gave the diagnosis of Leiomyoma with hyaline degeneration with no sarcomatous changes. She had uneveventful post operative period and was dishcraged home stable. Conclusion: Most subserosal fibroids will go unnoticed for a long time until they become big enough to cause pressure effect or an obvious mass. Huge abdominal masses could originate from many organs, the most common diagnosis in females of reproductive age is a benign uterine fibroid. Management of uterine fibroids depends on many factor and surgical excision could be very challenging especially with large masses adherent to other organs. PrePop, intraPop and postP op care are all of extreme significance in preventing adverse outcomes in such cases.

Keywords: Giant Uterine Leiomyoma, Myoma.