Giant uterine leiomyomata

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 hyste...

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Published inFertility 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
LanguageEnglish
Published United States Elsevier Inc 01.03.2011
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ISSN0015-0282
1556-5653
1556-5653
DOI10.1016/j.fertnstert.2010.10.016

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Abstract 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.
AbstractList To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject.OBJECTIVETo present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject.Case report and literature review.DESIGNCase report and literature review.A major university, tertiary-care hospital.SETTINGA major university, tertiary-care hospital.One patient, with said pathology, who gave informed consent for exploratory laparotomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy.PATIENT(S)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 hemostasis for hemoperitoneum.INTERVENTION(S)Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-ophorectomy, reoperation with abdominal washout, and hemostasis for hemoperitoneum.Not applicable.MAIN OUTCOME MEASURE(S)Not applicable.Not applicable.RESULT(S)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.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.
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 hemostatsis 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.
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.
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 hemostasis 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.
Author Katz, Allan R.
Steward, Ryan G.
DenHartog, Holli W.
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Cites_doi 10.1148/radiographics.9.5.2798974
10.1007/s00404-007-0523-1
10.1016/S0301-2115(01)00380-3
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Issue 3
Keywords uterine
Giant
fibroid
tumor
leiomyoma
myoma
Language English
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References Rubens, Talarico, Zaepfel, VanZandt (bib8) 1989; 9
Nappi, Matteo, Giardina, Rosenberg, Indraccolo (bib9) 2008; 278
Jones, Rock (bib10) 2008
Speroff, Fritz (bib2) 2005
Evans, Pratt (bib4) 1979; 54
Oelsner, Elizur, Frenkel, Carp (bib5) 2003; 101
Adams Hillard (bib1) 2007
Jonas, Masterson (bib3) 1977; 50
Schorge, Schaffer, Halvorson, Hoffman, Bradshaw, Cunningham (bib6) 2008
Djelmis, Mayer, Majerovic, Radanovic, Starcevic (bib7) 2001; 99
Jones (10.1016/j.fertnstert.2010.10.016_bib10) 2008
Speroff (10.1016/j.fertnstert.2010.10.016_bib2) 2005
Evans (10.1016/j.fertnstert.2010.10.016_bib4) 1979; 54
Schorge (10.1016/j.fertnstert.2010.10.016_bib6) 2008
Adams Hillard (10.1016/j.fertnstert.2010.10.016_bib1) 2007
Jonas (10.1016/j.fertnstert.2010.10.016_bib3) 1977; 50
Oelsner (10.1016/j.fertnstert.2010.10.016_bib5) 2003; 101
Rubens (10.1016/j.fertnstert.2010.10.016_bib8) 1989; 9
Nappi (10.1016/j.fertnstert.2010.10.016_bib9) 2008; 278
Djelmis (10.1016/j.fertnstert.2010.10.016_bib7) 2001; 99
References_xml – volume: 99
  start-page: 278
  year: 2001
  end-page: 280
  ident: bib7
  article-title: Giant uterine leiomyoma devascularized by embolization prior to surgical removal
  publication-title: Eur J Obstet Gynecol Reprod Biol
– start-page: 706
  year: 2008
  end-page: 707
  ident: bib6
  article-title: Uterine sarcoma
  publication-title: Williams gynecology
– start-page: 389
  year: 2008
  end-page: 393
  ident: bib10
  article-title: Control of pelvic hemorrhage
  publication-title: Te Linde’s operative gynecology
– volume: 54
  start-page: 385
  year: 1979
  end-page: 386
  ident: bib4
  article-title: A giant fibroid uterus
  publication-title: Obstet Gynecol
– volume: 101
  start-page: 1088
  year: 2003
  end-page: 1091
  ident: bib5
  article-title: Giant uterine tumors: two cases with different clinical presentations
  publication-title: Obstet Gynecol
– start-page: 136
  year: 2005
  end-page: 137
  ident: bib2
  article-title: The uterus
  publication-title: Clinical gynecologic endocrinology and infertility
– volume: 50
  start-page: 2s
  year: 1977
  end-page: 4s
  ident: bib3
  article-title: Giant uterine tumors
  publication-title: Obstet Gynecol
– volume: 9
  start-page: 964
  year: 1989
  end-page: 967
  ident: bib8
  article-title: General case of the day, annual meeting 1988
  publication-title: Radiographics
– volume: 278
  start-page: 61
  year: 2008
  end-page: 63
  ident: bib9
  article-title: Management of uterine giant myoma
  publication-title: Arch Gynecol Obstet
– start-page: 463
  year: 2007
  end-page: 469
  ident: bib1
  article-title: Benign diseases of the female reproductive tract
  publication-title: Berek and Novak’s gynecology
– volume: 9
  start-page: 964
  year: 1989
  ident: 10.1016/j.fertnstert.2010.10.016_bib8
  article-title: General case of the day, annual meeting 1988
  publication-title: Radiographics
  doi: 10.1148/radiographics.9.5.2798974
– volume: 278
  start-page: 61
  year: 2008
  ident: 10.1016/j.fertnstert.2010.10.016_bib9
  article-title: Management of uterine giant myoma
  publication-title: Arch Gynecol Obstet
  doi: 10.1007/s00404-007-0523-1
– volume: 101
  start-page: 1088
  year: 2003
  ident: 10.1016/j.fertnstert.2010.10.016_bib5
  article-title: Giant uterine tumors: two cases with different clinical presentations
  publication-title: Obstet Gynecol
– start-page: 706
  year: 2008
  ident: 10.1016/j.fertnstert.2010.10.016_bib6
  article-title: Uterine sarcoma
– start-page: 463
  year: 2007
  ident: 10.1016/j.fertnstert.2010.10.016_bib1
  article-title: Benign diseases of the female reproductive tract
– volume: 50
  start-page: 2s
  year: 1977
  ident: 10.1016/j.fertnstert.2010.10.016_bib3
  article-title: Giant uterine tumors
  publication-title: Obstet Gynecol
– start-page: 389
  year: 2008
  ident: 10.1016/j.fertnstert.2010.10.016_bib10
  article-title: Control of pelvic hemorrhage
– start-page: 136
  year: 2005
  ident: 10.1016/j.fertnstert.2010.10.016_bib2
  article-title: The uterus
– volume: 99
  start-page: 278
  year: 2001
  ident: 10.1016/j.fertnstert.2010.10.016_bib7
  article-title: Giant uterine leiomyoma devascularized by embolization prior to surgical removal
  publication-title: Eur J Obstet Gynecol Reprod Biol
  doi: 10.1016/S0301-2115(01)00380-3
– volume: 54
  start-page: 385
  year: 1979
  ident: 10.1016/j.fertnstert.2010.10.016_bib4
  article-title: A giant fibroid uterus
  publication-title: Obstet Gynecol
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Snippet 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...
Objective To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject. Design Case report and literature...
OBJECTIVE: To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject. DESIGN: Case report and literature...
To present the case of a patient with giant uterine leiomyomata and review literature pertinent to the subject.OBJECTIVETo present the case of a patient with...
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SubjectTerms 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
Title Giant uterine leiomyomata
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