Severely Enlarged Uterine Leiomyoma

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Uterine Leiomyoma
Positions of the 3 trocars on the left side of the patient.

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.

References

LASH in Severely Enlarged Uterine Leiomyoma: Removal of a Uterus of 4065 g https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036857/

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Dr. Aiman Shahab is a dentist with a bachelor’s degree from Dow University of Health Sciences. She is an experienced freelance writer with a demonstrated history of working in the health industry. Skilled in general dentistry, she is currently working as an associate dentist at a private dental clinic in Karachi, freelance content writer and as a part time science instructor with Little Medical School. She has also been an ambassador for PDC in the past from the year 2016 – 2018, and her responsibilities included acting as a representative and volunteer for PDC with an intention to make the dental community of Pakistan more connected and to work for benefiting the underprivileged. When she’s not working, you’ll either find her reading or aimlessly walking around for the sake of exploring. Her future plans include getting a master’s degree in maxillofacial and oral surgery, settled in a metropolitan city of North America.

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