Successful Removal of 147 Fibroids from the Uterus via Abdominal Myomectomy: A Case Report
Published: November 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/64584.18685
Nalini Sharma, Ritisha Basu, Subrat Panda, Wansalan Karu Shullai
1. Associate Professor, Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
2. Clinical Fellow, Department of Obstetrics and Gynaecology, Ipswich Hospital, Ipswich, United Kingdom.
3. Professor, Department of Obstetrics and Gynaecology, AIIMS, Kalyani, West Bengal, India.
4. Assistant Professor, Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
Correspondence
Ritisha Basu,
IP38NW, Ipswich, United Kingdom.
E-mail: basu.ritisha312@gmail.com
Uterine fibroids are a common gynaecological condition that can sometimes be large and multiple, significantly impacting the affected woman’s quality of life. Managing multiple fibroids in women who want to preserve their fertility can be complex, as myomectomy is more challenging compared to hysterectomy. A 30-year-old woman was admitted with complaints of heavy menstrual bleeding, severe anaemia, and an abdominal mass equivalent to a 36-week gravid uterus. Ultrasound followed by Magnetic Resonance Imaging (MRI) revealed multiple fibroids. Since she strongly desired to preserve her fertility, an abdominal myomectomy was planned. The present case highlights the removal of 147 fibroids from the patient, along with a discussion on the challenges faced during surgery and the postoperative period. The authors emphasises that such cases require a highly multidisciplinary approach and should be performed in institutions with adequate blood banks and intensive care support.
[
FULL TEXT ] | [ PDF]