47-year-old underwent laparoscopic supracervical hysterectomy for enormous uterine leiomyoma.
This article highlights the case of a 47-year-old patient who presented with a uterine leiomyoma that extended beyond her navel to the costal arch. The leiomyoma was initially diagnosed 14 years ago. However, because of the patient’s extreme fear of abdominal incisions, doctors were only monitoring her for the myoma. She refused all suggested laparotomies thus far.
Even at the time the patient was admitted, she only agreed to a minimally invasive procedure. Her doctor informed her in details of the risks, side effects and alternatives of the procedure. In addition, she underwent a computed tomography before the procedure. While performing the hysterectomy, anatomical changes were noted in the uterus.
The patient underwent a 4 hours and 53 minutes laparoscopic supracervical hysterectomy for removal of the leiomyoma. The postoperative period was uneventful for the patient with no complications. Doctors admitted her in outpatient care for two days after surgery. The patient was discharged after a vaginal and renal ultrasound which showed no significant intra-abdominal findings. No malignancy was assumed since the patient was young and because of the slow growth of the leiomyoma. The leiomyoma grew over a time period of 14 years. In addition, the Doppler test result was negative before surgery, thereby signifying an absence of malignancy.
Histopathological analysis of the removed specimen confirmed the benign nature of the leiomyoma. The total weight of the uterus removed measured 4065 g.
LASH in Severely Enlarged Uterine Leiomyoma: Removal of a Uterus of 4065 g https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036857/