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Giant uterine leiomyomata

Ryan G Steward¹, Holli W Denhartog, Allan R Katz

¹Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas Health Science Center at Houston, Texas 77225-0708, USA. Ryan.G.Steward@uth.tmc.edu

Fertility and Sterility

|November 12, 2010

Abstract

Objective:

To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject.

Design:

Case report and literature review.

Setting:

A major university, tertiary-care hospital.

Patient(S):

One patient, with said pathology, who gave informed consent for exploratory laparotomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy.

Intervention(S):

Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-ophorectomy, reoperation with abdominal washout, and hemostasis for hemoperitoneum.

Main Outcome Measure(S):

Not applicable.

Result(S):

Not applicable.

Conclusion(S):

Those with giant uterine leiomyomata are a very unique and tiny subset of the millions of women with fibroids. They should be treated similarly to older, more critically ill patients. Their optimal surgical management requires the careful attention to considerations and techniques not common to the typical myomectomy or hysterectomy.

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