Uterine leiomyomas are the most common benign gynecological tumors affecting 20-30% of women in reproductive age. Despite their benignity, in some cases several symptoms may require surgical intervention. Submucosal leiomyomas are less frequent (5-10%), but are usually symptomatic. Approximately 2.5% of the myomas are pedunculated and can protrude in the cervical canal. Symptomatic leiomyomas can be treated either by hysterectomy or myomectomy, and these procedures can be performed with several techniques. Whenever possible, hysteroscopic myomectomy is better because it has many advantages, as it also preserves future fertility. Two interesting cases of prolapsed pedunculated submucous leiomyomas are reported in order to prove that magnetic resonance imaging (MRI) is essential to choose the most appropriate treatment and to perform an adequate presurgical planning, which must be based on an overall assessment of the leiomyoma's characteristics (number, location, size and presence or absence of a stalk) and the patient's characteristics.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
A Rare Case of Pedunculated, Prolapsed Juvenile Rectal Polyp in a Pediatric Patient.
Cureus
October 2024
Pediatric Surgery, BronxCare Health System, Bronx, USA.
The prolapse of a pedunculated juvenile rectal polyp is a rare event. It occurs when the polyp protrudes through the anus and appears as a fleshy mass at the anus, leading to an alarming scenario for both the parent and patient and typically prompting a visit to the emergency department (ED). We report a case of a five-year-old male patient who presented to the ED with a prolapsed rectal mass.
View Article and Find Full Text PDFDiagnostics and Management Challenges of Nonpuerperal Uterine Inversions - Case Series.
Int J Womens Health
August 2024
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Purpose: Non-puerperal uterine inversion (NPUI) is a rare gynaecological entity with unknown actual incidence. It presents diagnostic and surgical challenges, due to its rarity and lack of clinical experience.
Methods: Case series of 5 NPUI cases.
Benign and malignant prolapsed uterine tumors : 4 case reports of an extremely rare entities.
Radiol Case Rep
June 2024
Mother and child radiology department, University of Sidi Mohamed Ben Abdellah, CHU Hassan II, Fes, Morocco.
Prolapsed uterine tumors within the cervix or vagina, are attached to the uterine cavity by a soft tissue stalk. Malignant tumors and leiomyoma are the first diagnostic considerations for a prolapsed uterine mass with a visible stalk at MRI. This article describes 4 cases of patients who presented with large, necrotic prolapsed uterine tumors that were surgically confirmed and were diagnosed prospectively on the basis of MRI findings.
View Article and Find Full Text PDFBilateral obstructive uropathy and severe renal dysfunction associated with large prolapsed pedunculated submucosal leiomyoma of the uterus misdiagnosed as an intracervical fibroid: Report of a very rare case and a mini‑review of the literature.
Med Int (Lond)
March 2024
Department of Obstetrics and Gynecology, General Hospital of Trikala, 42100 Trikala, Greece.
Pedunculated submucosal leiomyomas of the uterus that prolapse into the vagina are common. In extremely rare cases, large pedunculated submucosal leiomyomas may lead to bilateral obstructive uropathy, causing severe renal dysfunction and potentially being misdiagnosed as intracervical leiomyoma. The present study describes the surgical treatment of a patient with a large prolapsed pedunculated submucosal uterine leiomyoma, which was misdiagnosed as an intracervical fibroid.
View Article and Find Full Text PDFProlapsed hyperplastic gastric polyp: an uncommon cause of acute pancreatitis.
Rev Esp Enferm Dig
February 2024
Gastroenterology, Hospital Universitario Rey Juan Carlos.
Article Synopsis
- A 68-year-old man visited the Emergency Department due to a month-long history of intermittent abdominal pain, leading to a diagnosis of acute pancreatitis based on lab results.
- Imaging tests revealed a large pedunculated gastric polyp, measuring 64x38mm, but no signs of metastasis.
- The polyp was surgically resected during a gastroscopy; the analysis showed it was a hyperplastic polyp with low-grade dysplasia, and the patient recovered well without complications.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!