Jurnalul de Chirurgie
ISSN: 1584 - 9341
Vol.1 Nr.2 - aprilie - iunie 2005
 
     ENGLISH

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NUMARUL 2, VOL. 1, 2005

CAZURI CLINICE - CASE STUDIES

GIANT UTERINE FIBROMYOMA ASSOCIATED WITH SECONDARY POLYCYTHEMIA. CASE REPORT
Demetra Socolov, D. Andronic*, A. Carauleanu, C. Lupascu*, Maria Magdalena Carauleanu
Second Obstetrics-Gynecology Clinic
*First Surgical Clinic, „St. Spiridon” Hospital Iasi
University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (1):203-205
Full text: Format PDF (Romanian)

Abstract:

Background: Giant uterine fibromyomas are very rare; there are difficulties in diagnosis and surgical treatment. There is a known association between large uterine fibromyomas and polycythemia.

Case: A 46-year old woman presented with a large lower abdominal mass. Laboratory evaluation revealed a haemoglobin of 18.3 g/dl and a hematocrit of 51.7%. The ultrasound scan showed a large abdominal mass arising in the pelvis and with the upper pole at the xiphoid appendix, compressing both ureters.

A complex team of gynecologists and general surgeons performed a total abdominal hysterectomy. Pathology confirmed a uterine leiomyoma weighing 17.8 kg.

Two and six months after operation, the patient was asymptomatic and the haematological values within normal range.

KEYWORDS: GIANT UTERINE FIBROMYOMA, POLYCYTHEMIA, HYSTERECTOMY

Correspondence: Dr. D. Andronic, Clinica I Chirurgie, Spitalul „Sf. Spi ridon” Iasi, Bd. Independentei, nr. 1, 700111