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Vulval leiomyoma with acute postoperative delirium
Manas Ranjan Behera1, Aditya Pati1, Shabnam K1
1All India Institute of Medical Sciences, Bhubaneswar, India.
Przeglad Menopauzalny = Menopause Review
|October 11, 2024
Summary
Vulval leiomyomas, rare benign tumors, can cause discomfort and require surgical excision. This case highlights the potential for postoperative delirium, emphasizing the need for gynecologist awareness.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
- Neurosurgery
Background:
- Vulval leiomyomas are rare benign mesenchymal tumors, distinct from common uterine leiomyomas.
- This report details a rare case of a large vulval leiomyoma in a multiparous woman.
Observation:
- A 41-year-old woman presented with a symptomatic 10x8 cm vulval mass causing perineal discomfort.
- Physical examination revealed a firm, solid lesion involving the labia, distorting the introitus.
Findings:
- Preoperative ultrasound suggested a vulval leiomyoma; histopathology confirmed leiomyoma with cystic degeneration.
- The patient experienced acute postoperative delirium, managed successfully with haloperidol and supportive care.
Implications:
- Surgical excision is the primary treatment for symptomatic vulval leiomyomas.
- Postoperative delirium represents a significant surgical morbidity that gynecologists must anticipate and manage.
- Awareness of both vulval leiomyomas and postoperative delirium is crucial for optimal patient outcomes in gynecologic surgery.
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