A hybrid technique for the removal of a large prolapsed pedunculated submucous leiomyoma

Mauri, Fabio; Emery, Shahzia Lambat; Dubuisson, Jean

doi:10.1016/j.jogoh.2022.102365

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Vaginal myomectomy followed by an operative hysteroscopy to complete the resection of the leiomyoma's residual vascular pedicle, following gentle cervical torsion around the hysteroscope, which prevents the leakage of the distension liquid, provides excellent visibility for hemorrhage control and ensures the complete resection of the pedicle. This approach significantly reduces the risk of recurrence ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Bilateral obstructive uropathy and severe renal dysfunction associated with large prolapsed pedunculated submucosal leiomyoma of the uterus misdiagnosed as an intracervical fibroid: Report of a very rare case and a mini‑review of the literature

Thanasa,

Grapsidi

et al. 2024

Med Int

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Pedunculated submucosal leiomyomas of the uterus that prolapse into the vagina are common. In extremely rare cases, large pedunculated submucosal leiomyomas may lead to bilateral obstructive uropathy, causing severe renal dysfunction and potentially being misdiagnosed as intracervical leiomyoma. The present study describes the surgical treatment of a patient with a large prolapsed pedunculated submucosal uterine leiomyoma, which was misdiagnosed as an intracervical fibroid. The patient, of menopausal age, presented with uterine bleeding, anemia and severe renal dysfunction. Upon a physical examination, suspicion arose for a cervical leiomyoma, prompting the decision for imaging. Both transvaginal ultrasound and computed tomography, as well as magnetic resonance imaging confirmed the diagnosis of intracervical leiomyoma, accompanied by bilateral obstructive uropathy due to ureteral compression. The surgical management of the patient with laparotomy was decided. Intraoperatively, a large pedunculated submucosal uterine leiomyoma prolapsing into the vagina was identified. Total hysterectomy and bilateral salpingectomy-oophorectomy were performed. The immediate post-operative course was uneventful. At 6 months following surgery, the complete recovery of renal morphology and function was observed. The patient continues to undergo regular follow-up assessment to date. In the present study, a brief literature review is also provided, emphasizing the significant diagnostic and surgical challenges that may arise in the management of patients with large pedunculated submucosal uterine leiomyomas prolapsing into the vagina.

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Section: Discussionmentioning

confidence: 99%

Bilateral obstructive uropathy and severe renal dysfunction associated with large prolapsed pedunculated submucosal leiomyoma of the uterus misdiagnosed as an intracervical fibroid: Report of a very rare case and a mini‑review of the literature

Thanasa,

Grapsidi

et al. 2024

Med Int

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Mioma nascens: reporte de caso

Galvis Mantilla,

Rojas Valencia,

Ortiz Diaz

et al. 2023

CBS

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Los leiomiomas son los tumores ginecológicos más frecuentes y se observan en alrededor del 20% de las mujeres mayores de 35 años, hay distintos tipos de leiomiomas los cuales se clasifican según su localización; subserosa, intramural, submucosa, ligamento ancho o cervical. En el presente caso clínico se hablará sobre leiomiomas tipo 0 submucosos pediculado prolapsado o también conocido como “mioma nascens” que tienen una prevalencia en menos del 2.5% de la población, en este caso la paciente contaba con una sintomatología de varios meses por lo que se optó por tratamiento quirúrgico, Objetivo Principal: Describir las características clínico patológico o quirúrgicas de un caso clínico de interés. Conclusión: Mioma Nacens ocurre en un 1% de los casos en la población y en 2, 5% en adolescentes, tiene una clínica clara y característica que se puede diagnosticar principalmente, por examen físico con especuloscopia. La elección a su resolución es la miomectomía vaginal por lo seguro, corto, simple, definitivo del tratamiento.

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A hybrid technique for the removal of a large prolapsed pedunculated submucous leiomyoma

Cited by 2 publications

References 12 publications

Bilateral obstructive uropathy and severe renal dysfunction associated with large prolapsed pedunculated submucosal leiomyoma of the uterus misdiagnosed as an intracervical fibroid: Report of a very rare case and a mini‑review of the literature

Bilateral obstructive uropathy and severe renal dysfunction associated with large prolapsed pedunculated submucosal leiomyoma of the uterus misdiagnosed as an intracervical fibroid: Report of a very rare case and a mini‑review of the literature

Mioma nascens: reporte de caso

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