Giant uterine leiomyomata

• Published in: Fertility and sterility Vol. 95; no. 3; pp. 1121.e15 - 1121.e17
• Main Authors: Steward, Ryan G., DenHartog, Holli W., Katz, Allan R.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2011
• Subjects: Adult; Blood Loss, Surgical; case studies; Female; fibroid; Giant; Humans; hysterectomy; Internal Medicine; laparotomy; leiomyoma; Leiomyoma - pathology; Leiomyoma - surgery; myoma; Obstetrics and Gynecology; patients; Severity of Illness Index; tumor; uterine; Uterine Neoplasms - pathology; Uterine Neoplasms - surgery; women; uterine; Giant; fibroid; tumor; leiomyoma; myoma
• ISSN: 0015-0282; 1556-5653; 1556-5653
• DOI: 10.1016/j.fertnstert.2010.10.016

To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject. Case report and literature review. A major university, tertiary-care hospital. One patient, with said pathology, who gave informed consent for exploratory laparotomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy. Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-ophorectomy, reoperation with abdominal washout, and hemostatsis for hemoperitoneum. Not applicable. Not applicable. 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.