Lunge Patil Swarnima, Dave Apoorva, Chaudhari Kamlesh
Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 26;16(1):e52988. doi: 10.7759/cureus.52988. eCollection 2024 Jan.
Uterine fibroids, or leiomyomas, are the most frequent benign tumors affecting the female reproductive system, particularly during the reproductive years. The case report that follows presents the diagnosis and treatment of uterine fibroids in a female patient. The 33-year-old female patient in this instance arrived at the tertiary rural hospital with an abnormally large, bloated belly. Upon examination and imaging, it was discovered that the patient had multiple fibroids growing inside her uterus. Here, we present a successful management of uterine leiomyoma with laparoscopic myomectomy where we performed uterine artery embolization before surgical management in order to minimize blood loss during surgery. The case highlights the significance of collaboration between gynecologists, surgeons, and interventional radiologists. Thanks to their combined expertise, the patient was given a variety of treatment options, such as minimally invasive treatments, surgical interventions, and medication therapy. Decision considerations included the consequences of fibroids and the patient's age and desire to preserve fertility. The effect of fibroids on her life expectancy is taken into account. This case emphasizes how important it is to embolize the uterine arteries before having a myomectomy to cure large uterine leiomyomas successfully.
子宫肌瘤，又称平滑肌瘤，是影响女性生殖系统最常见的良性肿瘤，在育龄期尤为常见。以下病例报告介绍了一名女性患者子宫肌瘤的诊断和治疗情况。在这个病例中，这位33岁的女性患者来到一家三级乡村医院，腹部异常肿大。经检查和影像学检查发现，患者子宫内有多个肌瘤生长。在此，我们展示了一例通过腹腔镜子宫肌瘤切除术成功治疗子宫平滑肌瘤的案例，我们在手术治疗前进行了子宫动脉栓塞术，以尽量减少手术中的失血。该病例凸显了妇科医生、外科医生和介入放射科医生之间合作的重要性。由于他们的综合专业知识，为患者提供了多种治疗选择，如微创治疗、手术干预和药物治疗。决策考虑因素包括肌瘤的后果以及患者的年龄和保留生育能力的愿望。同时考虑了肌瘤对其预期寿命的影响。该病例强调了在进行子宫肌瘤切除术之前栓塞子宫动脉对于成功治愈大型子宫平滑肌瘤的重要性。
