Surgical approach adopted in the case of a giant pediculated tumor prolabated from the uterine cavity – case report

D. Popovici, R. Socolov, M. Ciuhodaru, L. Hurjui, C. Stan, M. Akad, S. Bereşteanu

Rezumat: The uterine leiomyoma is a benign mesenchymal tumor of the smooth muscle tissue of the uterus, in parallel with the proliferation of fibroconjunctive stroma, and is found in 20% of the female population aged 35-50 years old. The treatment for each patient is individual and multifactorial. Fibroids can grow anywhere in the uterus, and their size varies from microscopic to giant. Uterine fibroids can be located in different parts of the muscle cavity. Depending on the areas where growth occurs, they are classified into intramural, subserous and submucosal. The prolapsed uterine fibromatous nodule is a pedunculated submucosal fibromatous uterine nodule that migrates from the uterine cavity through the cervical canal into the vagina. This article presents the clinical case of the patient H.E., aged 45 years old, who was diagnosed and treated at the “Elena Doamna” Clinical Hospital of Obstetrics and Gynecology, from Iaşi, in the gynecology department, being diagnosed with hemorrhagic fibromatous uterus and giant uterine fibromatous node prolapsed from the uterine cavity into the vagina. This case presents difficulties in making the decision, which refers to the volume and character of the surgical intervention due to the particularity of the case. Uterine leiomyomas are the most common tumors of the female genital tract. The massive pediculated uterine fibromatous nodule prolapsed through the cervical canal is a very rare tumor and is a major diagnostic and therapeutic challenge.
Cuvinte cheie: leiomyoma, pediculated fibromatous nodule, hysterectomy.