Gynécologie & Obstétrique
Libre accès

Abstrait

Successful Removal of Giant Uterine Leiomyomata with Minimal Blood Loss: Case Report and Literature Review

Alexandra E. Snyder

Giant uterine leiomyomata, defined as those greater than 11.4 kg, are a rare presentation of extremely common gynecologic tumors. Most case reports of surgical resection of these tumors describe significant blood loss requiring blood transfusion. The two largest tumors successfully resected as reported in the literature weighed 51 kg and 45.45 Kg. We report a case of a successful surgical resection of a 45 kg myoma originating from the uterine cervix and lower uterine segment with minimal blood loss and no requirement of blood transfusion. The surgical technique of hypogastric and infundibulopelvic artery ligation prior to dissection of the tumor or uterus aided in preventing hemorrhage during this surgery.