Prolapse of a Large Degenerating Uterine Leiomyoma: A Case Report.
| Autor: | Wynn AB; Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA., Shultz RL; Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA., Dayton EF; Department of Obstetrics and Gynecology, Florida State University College of Medicine, Tallahassee, USA., Farmer K; Department of Obstetrics and Gynecology, Southeast Health Medical Center, Dothan, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 May 19; Vol. 16 (5), pp. e60622. Date of Electronic Publication: 2024 May 19 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.60622 |
| Abstrakt: | Uterine leiomyomas (ULs) are common benign tumors seen in a large percent of women that can be classified based on their location within the uterus. They can cause a number of pelvic complications and can be managed medically, but more often surgically. Uterine pyomyomas often occur postpartum, possibly from infarction, and can lead to degeneration and sepsis. Our patient presents with a two-month development of a potential pyomyoma, found initially on computed tomography (CT). Office exam reveals a protruding mass from the cervical os, and removal was attempted but ultimately postponed for general anesthesia exam due to pain. The leiomyoma was removed and shown to be necrosing. Pyomyomas are often insidious and can often mimic other concerning pathologies. Modern imaging can show lesions within the pelvis but struggle to determine between fluid collection and possible infarcted masses. The importance of quality care measures in cases like this deserve to be emphasized to prevent serious complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Wynn et al.) |
| Databáze: | MEDLINE |
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