IMR Press / CEOG / Volume 38 / Issue 3 / pii/1630542855215-539773787

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Giant prolapsed submucous leiomyoma: a surgical challenge for gynecologists
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1 Department of Gynecology and Obstetrics, Urogynecology Division, Faculty of Medicine of Ribeirão Preto, São Paulo University Ribeirão Preto, SP (Brazil)
Clin. Exp. Obstet. Gynecol. 2011, 38(3), 299–300;
Published: 10 September 2011
Abstract

We present a case of a 45-year-old woman who presented with irregular vaginal bleeding and menorrhagia for two months, with an episode of massive bleeding initiating 24 hours before with hemodynamic shock. Vaginal inspection showed a soft, rounded, friable mass in vaginal introitus. After hospitalization, blood transfusion and hydration, she was submitted to vaginal myomectomy with the withdrawal of a 12-cm white, solid, huge, pedunculated, leiomyoma; however, hysterectomy was performed due to persistent uterine bleeding. The postoperation period had no complications. Macroscopy showed a retraction of the myoma pedicle. Gynecologists should prioritize clamping of a pedicle before surgery, reducing its size if the tumor is large.
Keywords
Uterine leiomyoma
Vaginal myomectomy
Vaginal bleeding
Hysterectomy
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