Abstract
Uterine fibroids are the commonest tumors in women of child bearing age. These often lead to significant morbidity especially in young women. The most common symptoms associated with leiomyomas are heavy menstrual bleeding, chronic pelvic pain, infertility pressure symptoms, and repeated abortions.Fibroids can cause infertility by distorting the uterine cavity thereby preventing fertilization or implantation of the fertilized ovum. We here present a case series of three patients presenting with multiple uterine fibroids with varied symptomatology who underwent open myomectomy.
Highlights
The uterus was enlarged with multiple uterine fibroid of varying size and with degenerative changes. 15 fibroids were removed weighing a total of 1.345kg
Uterine fibroids are the most common gynecological tumors occurring in women in their reproductive years
Myomectomy is defined as surgical removal of uterine fibroid or myoma There are various modalities available for management of fibroids including conservative oral and parenteral treatment, conservative and radical surgery, and newer techniques such as uterine artery embolization and radiofrequency ablation. 3
Summary
A 32yr old female, nulligravida married since 4 years, eager to conceive presented to us with complaints of heavy menstrual bleeding and a large abdominal mass. Patient had a history of multiple blood transfusions previously due to anemia occurring as a result of heavy menstrual bleeding. On examination her uterus was around 28 weeks size hard firm. Ultrasound of the abdomen was done which was suggestive of multiple fibroids with degenerative changes the largest being 10*9cm. The uterus was enlarged with multiple uterine fibroid of varying size and with degenerative changes. 15 fibroids were removed weighing a total of 1.345kg. Patient required multiple blood transfusions was discharged on post-operative day 5
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