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- Title
Mini-laparotomic Colpotomy for a Cervicovaginal Leiomyoma: Preservation of hymenal integrity.
- Authors
Yalçin, Ibrahim; Pabuçcu, Emre; kahraman, Korhan; Sönmezer, Murat
- Abstract
Background: Leiomyomas are the most common benign tumors of the uterus. Removal of the prolapsed pedunculated submucous myoma represents a distinct entity. Evaluation and treatment of such cases may need intervention via the hymen.Mini-laparotomic management of a pedunculated submucous myoma while preserving hymen integrity in a virginal patient is described as a safe alternative. Case: A 30-year old, nulliparous virgin woman admitted to the outpatient- clinic with the complaint of irregular menstrual bleeding ongoing for three months. Pelvic ultrasound revealed a 5x6 cm solid mass in the cervico-vaginal location that filled the vaginal margins. Due to the patient's consistent desire for preserving hymenal integrity, mini-laparotomic colpotomy was performed and the mass was removed successfully. Conclusion: Mini-laparotomic colpotomy, preserving hymen integrity, provides excellent visualization and it is a convenient and effective tool in the management of a cervicovaginal pedunculated submucous myoma.
- Subjects
SMOOTH muscle tumors; HYMEN (Gynecology); CERVICAL cancer treatment; CERVIX uteri surgery; ABDOMINAL surgery; VAGINAL surgery; TUMOR treatment
- Publication
International Journal of Reproductive Biomedicine, 2016, Vol 14, Issue 3, p217
- ISSN
2476-4108
- Publication type
Case Study