broad ligament fibroid, 8.5kg
DESCRIPTION
33 year old mother of two children, presented herself with multiple myomata reaching the xiphistetnum with a main complaint of pressure symptoms and difficult breathing. She had a pfannenstiel scar for her two cesarean sections; last one was two years earlier. Laparotomy through pfannenstiel incision and muscle cutting was carried out. There was a 40x 40cm cauliflower broad ligament fibroid with the uterus just sitting on it. Successful myomectomy was carried out.TRANSCRIPT
Galal Lotfi, MD. MRCOG
Prof. Obstetrics & GynecologySuez Canal University
Egypt
The patient
33 year old mother of two children, presented herself with multiple myomata reaching the xiphisternum with a main complaint of pressure symptoms and difficult breathing. She had a pfannenstiel scar for her two cesarean sections; last one was two years earlier. Laparotomy through pfannenstiel incision and muscle cutting was carried out. There was a 40x 40cm cauliflower broad ligament fibroid with the uterus just sitting on it. Successful myomectomy was carried out.
Ovary
Uterus
Tube
Part of the Mass
The other half of the mass was still incarcerated in the pouch of Douglas, Not Out
Yet
Almost half of the broad
ligament myoma is now out
but still the other half
was incarcerate
d in the pouch of Douglas
The there half in now out
Uterus
Uteru
Uterus
Outcome
• Myoma was removed, 40x40 Cm, 8.5Kg weight
• Uterus, both ovaries and tubes were left intact
• Post operative was uneventful