Tuğba GÜNLER, Zeynep ÖZTÜRK İNAL, Hasan Ali İNAL

Giant cystic leiomyoma with uterine location: A casereport

The uterine leiomyomas frequently encountered in gynecological practice originate from myometrial smooth muscle cells and can range in size from microscopic to huge. Giant leiomyomas are extremely rare and can be confused with ovarian or localized retroperitoneal neoplasias due to their nonspecific clinical presentation and degeneration. Herein, we report a 41-year-old patient who presented with irregular menstruation and abdominal pain. Ultrasonography revealed a solid mass located between the uterus and the bladder with cystic areas measuring 21×18 cm. Total abdominal hysterectomy and left salpingo-oophorectomy were performed. In the macroscopic examination, a 1300 g, 21×18×6-cm cystic structure with a multiloculated appearance and solid areas was observed. On histopathological examination, the patient was diagnosed with a leiomyoma with cystic degeneration. She was discharged on the second postoperative day without complications.

PDF

___

1. Wronski K. Giant uterine leiomyoma: case reportand review of literature. New Med 2014;3:89-91.
2. Gupta S, Manyonda I. Acute complications of fibroids. Best Pract Res Clin Obstet Gynaecol 2009;23:609-17.
3. Ezugwu EC, Iyoke CA, Ezugwu FO, Ugwu G.Successful Pregnancy Following Myomectomy forGiant Uterine Fibroid in an Infertile Woman. J Reprod Infertil 2014;15:233-6.
4. Wisot AL, Neimand KM, Rosenthal AH. Symptomatic myoma in a 13-year-old girl. Am J Obstet Gynecol 1984;105:639-41.
5. Evans III AT, Pratt JH. A giant fibroid uterus. Obstet Gynecol 1979;54:385-6.
6. Vilos GA, Allaire C, Laberge PY, Leyland N. SPECIAL CONTRIBUTORS. The management of uterine leiomyomas. J Obstet Gynaecol Can 2015;37:157-78.
7. Savulescu F, Iordache I, Albiţa O, et al. Giant uterine leiomyoma. Chirurgia (Bucur) 2011;106:665-8.
8. Ardaens Y. Imagerie des fibromes [Imaging of fibromas]. J Gynecol Obstet Biol Reprod (Paris) 2007;36:23-30.
9. Inal ZO, Inal HA. Comparison of abdominal, vaginal, and laparoscopic hysterectomies in a tertiary care hospital in Turkey. Ir J Med Sci 2018;187:485-91.
10. Chopra S, Lev-Toaff AS, Ors F, Bergin D. Adenomyosis: common and uncommon manifestations on sonography and magnetic resonance imaging. J Ultrasound Med 2006;25:617-27.