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Huge Cervical Leiomyoma Presenting as an Intra-Abdominal Leiomyoma: A Case Report
Current Issue
Volume 3, 2015
Issue 2 (April)
Pages: 33-36   |   Vol. 3, No. 2, April 2015   |   Follow on         
Paper in PDF Downloads: 12   Since Aug. 28, 2015 Views: 1583   Since Aug. 28, 2015
Authors
[1]
Solomon K. Gumanga, Department of Obstetrics & Gynaecology, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana.
[2]
Sonbaweara S. Abass, Department of Obstetrics & Gynaecology, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana.
Abstract
Leiomyoma is a very common tumour of the female pelvis. However it is very unusual for a cervical leiomyoma to present as an intra-abdominal tumour. This is a case report of a 41 year old para 5 woman who presented with an intra-abdominal tumour of about six months duration which was found to be a huge cervical leiomyoma 18cmx15cmx12cm at elective hysterectomy for uterine leiomyoma. In this case with such unusual presentation, myomectomy was performed before the deep pelvis could be adequately accessed for hysterectomy to be performed successfully without complications. The huge cervical leimyomata found at laparotomy was not diagnosed as cervical leimyomata after clinical examination and ultrasound scan investigations were completed. The post-operative follow-up has all been normal. Conclusion: Surgical procedures in the management of cervical leiomyoma can be difficult if the cervical leiomyoma is presenting unusually as a huge intra-abdominal tumour. The surgical procedure to be performed in such situation may not be routine but a special approach is required to avoid complications.
Keywords
Cervical Leiomyomata, Cervical Myoma, Cervical Fibroids, Uterine Leiomyoma
Reference
[1]
Droegenmueller W. Benign Gynecologic Lesions. In: Stenchever MA, Droegenmueller W, Herbst AL, Mishell DR, editors. Comprehensive Gynecology. St. Louis: Mosby; 2001; 479-530.
[2]
Shwatz SM. Epidemiology of uterine leioleiomyomata. Clin Obstet Gynecol 2001; 44: 316-26.
[3]
Zimmermann A., Bernuit D., Gerlinger C., Schaefers M., Geppert K. Prevalence, symptoms and management of uterine leiomyomas: an international internet-based survey of 21,746 women BMC Women’s Health; 2012, 12:6 doi:10.1186/1472-6872-12-6
[4]
Parker WH. Etiology, Symptomatology and diagnosis of uterine myomas. Fertil Steril 2007, 87(4):725-36.
[5]
Parker WH. Uterine myomas: management. Fertil Steril 2007, 88(2):255-71.
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