Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity

Golan, Abraham; Zachalka, Nariman; Lurie, Samuel; Sagiv, Ron; Glezerman, Marek

doi:10.1007/s00404-003-0590-x

Cited by 53 publications

(67 citation statements)

References 7 publications

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“…As the age of marriage and childbearing increases in developing countries, the prevalence of fibroid pregnancies and its complications could rise. Vigilance is necessary to detect and manage myomas (especially the submucous and intramural variants) before or during pregnancy as this has been shown to reduce morbidities 6 .…”

Section: Discussionmentioning

confidence: 99%

A huge polypoid uterine myoma causing severe primary postpartum haemorrhage: A report of one case

Adaji

Shittu²,

Ageda³

2006

Nigerian Journal of Surgical Research

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Complications from uterine myomas in pregnancy could occur antenally, intrapartum or in the puerperium. One of such was diagnosed in a 36-year old para 2+0 who had successful gestation to term delivery in co-existence with a huge fibroid polyp and had spontaneous vaginal delivery of a life baby. She however developed severe primary postpartum haemorrhage prompting emergency postpartum digital vaginal myomectomy which was very helpful.

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Section: Discussionmentioning

confidence: 99%

A huge polypoid uterine myoma causing severe primary postpartum haemorrhage: A report of one case

Adaji

Shittu²,

Ageda³

2006

Nigerian Journal of Surgical Research

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“…It reduces the operating time, anesthetic exposure and intraoperative bleeding. Golan et al, reported in their series that the technique was successful in 95.6% of the patients and all had uneventful recoveries [5]. The associated morbidity was minimal and the recovery period was very short as the case we presented [5].…”

Section: Discussionmentioning

confidence: 57%

“…Imaging modalities especially ultrasonography and MRI play an important role in the management of patients with prolapsed pedinculated leiomyomas especially for the pre-operative localization of leiomyomas and surgical planning for myomectomy. Most authors regard this surgical procedure as the safe and initial treatment for prolapsed pedunculated submucous myomas [5,6]. It reduces the operating time, anesthetic exposure and intraoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

A Huge Vaginal Prolapsed Pedunculated Uterine Leiomyoma: A Case Report

Kasap¹

2015

CSMC

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“…The recommended treatment-of-choice for prolapsed, pedunculated fibroids is a vaginal myomectomy [6]. Although the median diameter of fibroids removed vaginally and described is about 5 cm, some recent reports describing a vaginal myomectomy of tumours exceeding 7 cm can be found [7].…”

Section: Discussionmentioning

confidence: 99%

Rapidly progressive, large nascent cervical myoma with intrauterine device – case report and review of literature

Sikorski¹

2017

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This report presents the case of a 38-year-old woman with an uncomplicated intrauterine device in the uterine cavity diagnosed with a rapidly progressing, nascent myoma of cervical origin, finally managed by abdominal hysterectomy. The observation is unique due to the demonstration of a rapid tumour growth pace in a 2-year interval, documented by transvaginal ultrasound scans, evolution of its vascularisation with a consistent high resistance index measured by spectral Doppler, unusual (cervical) primary location with no myometrial cells shedding during the aspiration biopsy, nascent character behaviour while being non-pedunculated, coexistence with an intrauterine device, and the approach to definite clinical management after failure of the attempt to perform a vaginal myomectomy. The study points out obstacles in obtaining reassurance of a benign character of rapidly progressing tumours of mesenchymal origin before surgery. StreszczenieW pracy przedstawiono przypadek 38-letniej pacjentki z wewnątrzmaciczną wkładką antykoncepcyjną, u której rozpoznano gwałtownie rosnącego mięśniaka gładkokomórkowego wychodzącego ze ściany szyjki macicy i rodzącego się dopochwowo. Z tego powodu u kobiety wykonano brzuszne usunięcie macicy. Przypadek jest nietypowy ze względu na pełną dokumentację ultrasonograficzną gwałtownego wzrostu guza w ciągu 2 lat, obserwacje jego waskularyzacji z utrzymującymi się wysokimi wartościami wskaźnika oporu przepływu naczyniowego, skrajnie rzadko występującą pierwotną lokalizację mięśniaka (szyjkowa), brak komórek mięśniaka w biopsji aspiracyjnej kanału szyjki, rodzenie się przez ujście zewnętrzne kanału szyjki pomimo braku szypuły, współwystępowanie z wewnątrzmaciczną wkładką antykoncepcyjną oraz ostateczny zabieg chirurgiczny. Doniesienie wskazuje na trudności w jednoznacznym określeniu potencjału onkologicznego gwałtow-nie rosnących guzów pochodzenia mezenchymalnego.

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Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity

Abstract: Vaginal myomectomy is the treatment of choice for prolapsed pedunculated submucous myoma. The associated morbidity is minimal.

Cited by 53 publications

References 7 publications

A huge polypoid uterine myoma causing severe primary postpartum haemorrhage: A report of one case

A huge polypoid uterine myoma causing severe primary postpartum haemorrhage: A report of one case

A Huge Vaginal Prolapsed Pedunculated Uterine Leiomyoma: A Case Report

Rapidly progressive, large nascent cervical myoma with intrauterine device – case report and review of literature

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