Ezugwu Euzebus Chinonye, Iyoke Chukwuemeka Anthony, Ezugwu Frank Okechukwu, Ugwu George
Department of Obstetrics and Gynaecology, University of Nigeria, Teaching Hospital, Enugu State, Nigeria.
Department of Obstetrics and Gynaecology, Enugu State University, Teaching Hospital, Enugu state, Nigeria.
J Reprod Infertil. 2014 Oct;15(4):233-6.
Giant uterine fibroid is a rare tumor of the uterus, usually symptomatic requiring surgical intervention. Uterine fibroid is generally common among black women.
In this study, a case of 31 year old nullipara was reported who presented to the Gynaecology unit of Enugu State University Teaching Hospital (ESUTH), Nigeria with a history of progressive abdominal swelling of 8 years duration, six years duration of infertility and weight loss and dyspnoea on exertion. Physical examination and transabdominal ultrasound revealed a huge abdominopelvic mass. She had myomectomy. She had a histologically confirmed giant uterine fibroid that weighed 16.8 kg. She subsequently achieved a live birth.
Giant uterine fibroids are relatively rare. It poses great challenges in its management. The surgical option of management should consider the fertility preservation and aspiration of couples especially in developing countries.
巨大子宫纤维瘤是一种罕见的子宫肿瘤，通常有症状，需要手术干预。子宫纤维瘤在黑人女性中普遍常见。
本研究报告了一例31岁未生育女性，她前往尼日利亚埃努古州立大学教学医院（ESUTH）妇科就诊，有8年进行性腹部肿胀病史、6年不孕史、体重减轻以及活动时呼吸困难。体格检查和经腹超声显示有一个巨大的腹盆腔肿块。她接受了肌瘤切除术。组织学确诊为巨大子宫纤维瘤，重16.8千克。她随后成功分娩。
巨大子宫纤维瘤相对罕见。其管理面临巨大挑战。管理的手术选择应考虑保留生育能力以及夫妇的愿望，尤其是在发展中国家。
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