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International Journal of Gynaecology and Obstetrics Sciences

Vol. 6, Issue 1, Part A (2024)

Comprehensive management of a massively enlarged uterus resulting from multiple large fibroids: A case report

Author(s):

Dr. Sagimole Tojichen and Dr. Anne Maria Tojichen

Abstract:

This case report describes a 38-year-old female patient who presented with dysmenorrhea and for a pre-pregnancy check-up, revealing a massively enlarged uterus due to multiple large fibroids. Despite a history of fibroid diagnosis following a caesarean section in 2015, the patient had not undergone follow-up care. Examination and imaging, including ultrasound and MRI, identified several large fibroids, the largest measuring 16.1 cm. Surgical management involved a laparotomy and myomectomy, successfully removing seven fibroids with a specimen weight of 2.242 kg. Postoperative recovery was uneventful, and histopathology confirmed fibroid uterus without atypia. This case underscores the necessity of regular gynecological follow-ups for early detection and management of fibroids to avoid severe complications and highlights the effective use of diluted vasopressin in reducing intraoperative blood loss.

Pages: 06-08  |  57 Views  27 Downloads


International Journal of Gynaecology and Obstetrics Sciences
How to cite this article:
Dr. Sagimole Tojichen and Dr. Anne Maria Tojichen. Comprehensive management of a massively enlarged uterus resulting from multiple large fibroids: A case report. Int. J. Gynaecol. Obstet. Sci. 2024;6(1):06-08. DOI: 10.33545/26649004.2024.v6.i1a.23