GIANT SUBMUCOSAL LEIOMYOMA PRESENTING WITH A VERY LARGE ABDOMINOPELVIC SOFT TISSUE MASS WEIGHING 5 KG
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Keywords
Submucosal leiomyoma, giant fibroid, hydronephrosis, thrombocytopenia, total abdominal hysterectomy, benign uterine tumor
Abstract
We report a rare case of a giant submucosal leiomyoma weighing 5 kg and measuring 20 x 15 cm, presenting with abdominal pain, lower abdominal fullness, menorrhagia, and right-sided hydronephrosis. Despite significant thrombocytopenia, the patient successfully underwent total abdominal hysterectomy with right salpingo-oophorectomy after preoperative optimization. Histopathology confirmed a benign submucosal leiomyoma. This case highlights the importance of multidisciplinary management in complex presentations of uterine fibroids.
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Dr Sukesh Gowda KS
Senior resident, department of general surgery Autonomous State medical college Sultanpur Uttar Pradesh, India.
Dr Kiran Prabhakar Rebello
Associate professor, department of general surgery Autonomous State medical college Sultanpur Uttar Pradesh, India.