Adenomyosis, Multiple, and Intraligamentery (Sacro Uterine) Fibroids: A Rare Case

Muhammad Anas(1*), Ari Pudji Prasetyo(2), Ahmad Mochtar Jamil(3)


(1) [Scopus ID: 57192299850] Departement of Obstetric Ginecology, Faculty of Medicine, Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(2) Departement of General Surgeryof RSI Hasanah Muhammadiyah Mojokerto, Mojokerto, East Java, Indonesia
(3) Faculty of Medicine, Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(*) Corresponding Author

Abstract


Background: Uterine leiomyomata, often known as fibroids, are frequently accompanied by symptoms that are common to a variety of different pelvic disorders. When considering treatment choices, it is critical to correctly identify myomata and rule out other disorders, including malignancies. In this case report, the author emphasizes the difficulty in establishing a preoperative diagnosis and the actions taken during the operation.

Case report: Female, 46 years old, has three children who live with two children. She was complaining of left abdominal pain and penetrating to the waist. There were no complaints of defecation or urination. A mass in the lower abdomen, solid springy, and half of the symphysis center tend to the right with limited mobility. The preoperative diagnosis is pedunculated uterine myoma. It was decided to do a Supravaginal Hysterectomy and Bisalphingo-oforectomy. The pelvic cavity still looks bulging, and exploration was carried out to find uterine myomas of the intrasacrouterina ligament. Then, it was decided to do a Myomectomy.

Conclusion:Pedunculated uterine myoma intrasacrouterina ligament performed Supravaginal Hysterectomy and Myomectomy

 


Keywords


sacrouterine; intraligament; myoma uteri; myomectomy

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References


McLucas B. Diagnosis, imaging, and anatomical classification of uterine fibroids. Best Pract Res Clin Obstet Gynaecol. 2008;22(4):627–42.

Joy E. Olotu, Michael Okon. Anatomical location of uterine fibroids among women attending a tertiary health facility in a southern Nigerian population. GSC Biol Pharm Sci. 2021;14(2):007–15.

Dursun P, Altuntafl B, Ayhan A. Retroperitoneal Ve Paravajinal Miksoid Leiomyoma. Türk Jinekolojik Onkol Derg. 2007;10(2):51–3.

Yilmazer’ M, Kaya’ C, Dernlrel’ C, Erdogan N, Dincer Ccngiz S. Sigmoid Kolon Serozasinda ATipiK Lokalizasyonlu Myoma Uteri Myoma of ATypical Localization on The Serousa of Sigmoid Colon. Med J ofKocatepe. 2001;2:283–5.

Cărăuleanu A, Socolov R, Lupaşcu IA nghelach., Rugină V, Socolov D. Giant Intraligamentary Uterine Leiomyoma and Its Complications. Rev medico-chirurgicală̆ a Soc Medici ş̧i Nat din Iaş̧i. 2016;120(1):145–51.

Bechev B, Magunska N, Kovachev E, Ivanov S. Laparoscopic Treatment of Intraligamental Leiomyoma Per Magna. Akush Ginekol (Sofiia). 2016;55(1):66–8.

Chrisostomos S, Evaggelos D, Konstantinos Z. Enormous Intraligamentary Uterine Fibroids in Young Patient-Laparoscopic Approach. Open Access J Gynecol Obstet. 2019;2(2):17–20.

İslimye Taşkın M, Adali E, Güleç Başer B, Uzgören E. Intraligamentary Adenomyoma. Balıkesır Heal Sci J [Internet]. 2015 Aug 31 [cited 2021 Dec 5];4(2):107–10. Available from: https://dergipark.org.tr/en/pub/balikesirsbd/452324


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DOI: https://doi.org/10.26714/magnamed.10.2.2023.258-264

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