Vaginal removal of very large nascent uterine myoma - Case report and literature review

M. Terzic, S. Maricic, J. Dotlic

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This report shows that even extremely large nascent uterine myomas can be removed vaginally. A 25-year-old nulligravid and nulliparous patient with malaise, hypermenorrhea, and intermittent cramping pain in the lower abdomen was referred to our clinic. Gynecological examination revealed a round cauliflower-like tumor, 7 cm in diameter, originating from the external cervical os with a rough surface and without a palpable stalk or base. Ultrasound scan showed a hyperechogenic mass within the uterine cavity with two distinct subunits: one (55 × 44 mm) well-demarcated from the surrounding structures and the other (43 × 38 mm) in close proximity to the lower part of the anterior uterine wall and in continuity with the myometrium. At surgery, the myoma was completely removed vaginally. Recovery was prompt, complete, and uneventful. Follow-up at one and three months confirmed normal gynecological and sonographic findings. In conclusion, vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma; even extremely large nascent myomas can be efficiently removed vaginally.

Original languageEnglish
Pages (from-to)724-726
Number of pages3
JournalGeburtshilfe und Frauenheilkunde
Volume73
Issue number7
DOIs
Publication statusPublished - Aug 9 2013
Externally publishedYes

Fingerprint

Myoma
Uterine Myomectomy
Menorrhagia
Gynecological Examination
Myometrium
Brassica
Abdomen
Pain
Neoplasms
Therapeutics

Keywords

  • benign uterine tumor
  • nascent myoma
  • vaginal myomectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Vaginal removal of very large nascent uterine myoma - Case report and literature review. / Terzic, M.; Maricic, S.; Dotlic, J.

In: Geburtshilfe und Frauenheilkunde, Vol. 73, No. 7, 09.08.2013, p. 724-726.

Research output: Contribution to journalArticle

@article{a7aeb6d3139443639fe4bee2f5b91351,
title = "Vaginal removal of very large nascent uterine myoma - Case report and literature review",
abstract = "This report shows that even extremely large nascent uterine myomas can be removed vaginally. A 25-year-old nulligravid and nulliparous patient with malaise, hypermenorrhea, and intermittent cramping pain in the lower abdomen was referred to our clinic. Gynecological examination revealed a round cauliflower-like tumor, 7 cm in diameter, originating from the external cervical os with a rough surface and without a palpable stalk or base. Ultrasound scan showed a hyperechogenic mass within the uterine cavity with two distinct subunits: one (55 × 44 mm) well-demarcated from the surrounding structures and the other (43 × 38 mm) in close proximity to the lower part of the anterior uterine wall and in continuity with the myometrium. At surgery, the myoma was completely removed vaginally. Recovery was prompt, complete, and uneventful. Follow-up at one and three months confirmed normal gynecological and sonographic findings. In conclusion, vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma; even extremely large nascent myomas can be efficiently removed vaginally.",
keywords = "benign uterine tumor, nascent myoma, vaginal myomectomy",
author = "M. Terzic and S. Maricic and J. Dotlic",
year = "2013",
month = "8",
day = "9",
doi = "10.1055/s-0032-1328724",
language = "English",
volume = "73",
pages = "724--726",
journal = "Geburtshilfe und Frauenheilkunde",
issn = "0016-5751",
publisher = "Georg Thieme Verlag",
number = "7",

}

TY - JOUR

T1 - Vaginal removal of very large nascent uterine myoma - Case report and literature review

AU - Terzic, M.

AU - Maricic, S.

AU - Dotlic, J.

PY - 2013/8/9

Y1 - 2013/8/9

N2 - This report shows that even extremely large nascent uterine myomas can be removed vaginally. A 25-year-old nulligravid and nulliparous patient with malaise, hypermenorrhea, and intermittent cramping pain in the lower abdomen was referred to our clinic. Gynecological examination revealed a round cauliflower-like tumor, 7 cm in diameter, originating from the external cervical os with a rough surface and without a palpable stalk or base. Ultrasound scan showed a hyperechogenic mass within the uterine cavity with two distinct subunits: one (55 × 44 mm) well-demarcated from the surrounding structures and the other (43 × 38 mm) in close proximity to the lower part of the anterior uterine wall and in continuity with the myometrium. At surgery, the myoma was completely removed vaginally. Recovery was prompt, complete, and uneventful. Follow-up at one and three months confirmed normal gynecological and sonographic findings. In conclusion, vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma; even extremely large nascent myomas can be efficiently removed vaginally.

AB - This report shows that even extremely large nascent uterine myomas can be removed vaginally. A 25-year-old nulligravid and nulliparous patient with malaise, hypermenorrhea, and intermittent cramping pain in the lower abdomen was referred to our clinic. Gynecological examination revealed a round cauliflower-like tumor, 7 cm in diameter, originating from the external cervical os with a rough surface and without a palpable stalk or base. Ultrasound scan showed a hyperechogenic mass within the uterine cavity with two distinct subunits: one (55 × 44 mm) well-demarcated from the surrounding structures and the other (43 × 38 mm) in close proximity to the lower part of the anterior uterine wall and in continuity with the myometrium. At surgery, the myoma was completely removed vaginally. Recovery was prompt, complete, and uneventful. Follow-up at one and three months confirmed normal gynecological and sonographic findings. In conclusion, vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma; even extremely large nascent myomas can be efficiently removed vaginally.

KW - benign uterine tumor

KW - nascent myoma

KW - vaginal myomectomy

UR - http://www.scopus.com/inward/record.url?scp=84881096426&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881096426&partnerID=8YFLogxK

U2 - 10.1055/s-0032-1328724

DO - 10.1055/s-0032-1328724

M3 - Article

AN - SCOPUS:84881096426

VL - 73

SP - 724

EP - 726

JO - Geburtshilfe und Frauenheilkunde

JF - Geburtshilfe und Frauenheilkunde

SN - 0016-5751

IS - 7

ER -