Giant uterine leiomyoma delivered through the cervix: About three cases in Ouagadougou
DOI:
https://doi.org/10.54266/ajo.1.2.45.NROO2456Keywords:
Giant uterine myomas, MRI, HysterectomyAbstract
INTRODUCTION: Giant uterine leimyofibromas delivered through the uterine cervix are rare. MATERIALS AND METHODS: We report 3 observations in order to describe our diagnostic and therapeutic approach. RESULTS: Three patients aged 40, 49 and 41 years were seen for intense pelvic pain associated with metrorrhagia and a feeling of pelvic heaviness. The average delay of consultation was three years. They were all multiparous. The gynecological examination revealed a firm tissue mass with a smooth and regular surface of eight cm on average, occupying the vaginal cavity while respecting the vaginal walls. Speculum examination was not possible because of the size of the mass which was flush with the lower third of the vagina. Magnetic resonance imaging concluded to a myoma delivered through the cervix in all patients. A total hysterectomy was performed. Histology of the total hysterectomy specimen concluded a uterine leiomyoma of the uterus. CONCLUSION: These giant uterine leiomyomas are rare. Magnetic resonance imaging describes them well. The treatment is most often a total hysterectomy in women who do not wish to have pregnant.
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