Hacer UYANIKOĞLU, Güler ÇAKMAK, Emine Bihter GÜNDOĞDU

Sekonder İnfertil Bir Kadında Dev Myom Vakası

Myomlar üreme çağındaki kadınlarda en sık rastlanan uterus patolojisidirler. Boyutları genellikle değişken olup, >10 cm olanlar dev myom olarak adlandırılır. 20 cm’den büyük olması ise oldukça nadirdir. Biz bu yazıda sekonder infertilite nedeniyle doktora başvuran ve dev myom (21 cm) tespit edilip tarafımıza yönlendirilen bir olguyu literatür ışığında tartışmayı amaçladık.

Anahtar Kelimeler:

Dev myom, Sekonder infertilite, Myomektomi

A Case Report of Giant Myoma in a Secondary Infertil Woman

Myomas are the most common uterine patologies in women with reproductive age. The size of myomas is generally variable, > 10 cm are called giant myoma. It is quite rare when it is bigger than 20 cm. In this article, we aimed to discuss the case of a woman with giant myoma (21 cm) who was directed to us due to secondary infertility.

Keywords:

Giant Myoma, Secondary Infertility, Myomectomy,

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1 Zimmermann A, Bernuit D, Gerlinger C, Schaefers M, Geppert K. Prevalence, symptoms and management of uterine fibroids: an international internetbased survey of 21,746 women. BMC Womens Health 2012;12:6.
2 Speroff L, Fertiz MA. Clinical Gynaecologic endocrinology and infertility. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 463-9.
3 Sankaran S, Odejinmi F. Prospective evaluation of 125 consecutive laparoscopic myomectomies. J Obstet Gynaecol 2013;33:609–12.
4 Aydin C, Eris S, Yalcin Y, Sen Selim H. A giant cystic leiomyoma mimicking an ovarian malignancy. Int J Surg Case Rep 2013;4:1010-2.
5 Mayer DP, Shipilov V. Ultrasonography and magnetic resonance imaging of uterine fibroids. Obstet Gynecol Clin North Am 1995; 22: 667-725.
6 Pritts EA, Parker WH, Olive DL. Fibroids and infertility: an updated systemic review of the evidence. Fertil Steril 2009;91:1215.
7 Inaba F, Maekawa I, Inaba N. Giant myomas of the uterus. Int J Gynaecol Obstet 2005;88:325–6.
8 Uyanikoglu H, Incebiyik A, Ozturk E. Hemoperitoneum From Spontaneous Bleeding of a Uterine Subserous Leiomyoma: A Case Report. JCAM 2015;5:550-1.
9 Nappi L, Matteo M, Giardina S, Rosenberg P, Indraccolo U. Management of uterine giant myoma. Arch Gynecol Obstet 2008;278:61–3.
10 Bean EM, Cutner A, Holland T, et al. Laparoscopic myomectomy: a single-center retrospective review of 514 patients. J Minim Invasive Gynecol 2017;24:485e93.
11 http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm424443. htm. Accessed 16 Nov 2015.
12 Glaser LM, Friedman J, Tsai S, Chaudhari A, Milad M. Laparoscopic myomectomy and morcellation: A review of techniques, outcomes, and practice guidelines. Best Pract Res Clin Obstet Gynaecol 2017 Sep 29. pii: S1521-6934(17)30146-3. doi: 10.1016/j.bpobgyn.2017.09.012. [Epub ahead of print]