Rare Case of Asymptomatic Large Intramural Uterine Leiomyoma (Fibroid) in a Patient on Anticoagulants after Double Valve Replacement

Rao, Mohandas KG (2015) Rare Case of Asymptomatic Large Intramural Uterine Leiomyoma (Fibroid) in a Patient on Anticoagulants after Double Valve Replacement. International Journal of Contemporary Medical Research, 2 (3). pp. 550-552.

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Abstract

Introduction: A leiomyoma or a fibroid is a benign tumour composed mainly of smooth muscle cells with varying amounts of fibrous connective tissue. Most leiomyomas are asymptomatic. Uterine fibroids can be intramural, subserous and submucous. Case report: In the present case, we are reporting an incidence of asymptomatic, intramural large uterine fibroid in a 52-year-old perimenopausal woman who is on anticoagulants. Ultrasonography of her abdomen showed enlarged uterus with focal lesion noted in the posterior myometrium measuring 11.7cm x 10cm noted with multiple cystic areas and septations within suggestive of degenerative areas. After counselling and obtaining consent, the patient was taken up for total abdominal hysterectomy with bilateral salpingooophorectomy.Intraoperatively, the uterus is found to be enlarged to 20 weeks gestation size weighing about 1000 grams. There was a posterior fundal fibroid measuring about 12cm x 10cm, soft and highly vascular. The histopathological reports showed an intramural uterine leiomyoma (fibroid) with hyaline degeneration, cystic change and haemorrhage.Diagnosis was made as a case of an asymptomatic,intramural uterine fibroid.Conclusion: Large intramural uterine fibroid in a patient on anticoagulants after double valve replacement is very rare. When large asymptomatic leiomyomata occur in premenopausal women who have completed the family or who do not consider further childbearing, a recommendation for removal of fibroid may be made as it is almost impossible to predict which and when the patient will become symptomatic.

Item Type: Article
Uncontrolled Keywords: Pelvic Tumours; Ultrasonography; Benign Tumours; Abdominal Hysterectomy
Subjects: Medicine > MMMC Manipal > Anatomy
Depositing User: KMC Manipal
Date Deposited: 13 Aug 2015 04:31
Last Modified: 13 Aug 2015 04:31
URI: http://eprints.manipal.edu/id/eprint/143867

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