Hysteroscopic myomectomy in a submucous fibroid near from tubal ostia and 5 mm from the serosa: a case report from the Endoscopy Service of Ginendo-RJ
Autor: | Rogério Dias, Paulo Roberto Mussel Barrozo, Bernardo Portugal Lasmar, W.P. Modotte, Daniela Baltar da Rosa, Ricardo Bassil Lasmar |
---|---|
Rok vydání: | 2008 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Uterus Obstetrics and Gynecology Magnetic resonance imaging Interventional radiology Gynecological Examination female genital diseases and pregnancy complications Surgery Endoscopy medicine.anatomical_structure Uterine artery embolization Hysteroscopy medicine business Pelvis |
Zdroj: | Gynecological Surgery. 6:283-286 |
ISSN: | 1613-2084 1613-2076 |
Popis: | This is a case report of a 27-year-old white woman, nuliparous, single, who presented a heavy menstrual flow with clots, dysmenorrhoea and anaemia. Gynaecological examination of the uterus revealed anteverted position, mobility, no pain, slight enlargement and right displacement. Magnetic resonance imaging of the pelvis showed a 29-mm submucous fibroid with intramural component more than 50%, type 2, in the posterior wall, with a 5-mm distance from serosa. In office hysteroscopy, a 30-mm submucous fibroid with an intramural component with more than 50%, type 2, near around 5 mm from left tubal ostia, classified in STEP-W submucous fibroids classification as score 6, group II, was noted. GnRH analogue was indicated for 3 months before intervention to treat anaemia. The patient was submitted to hysteroscopic myomectomy with direct mobilisation technique, with the fibroid completely removed without complications in a surgery which lasted for 52 min and 20 s. |
Databáze: | OpenAIRE |
Externí odkaz: |