A case of huge uterine fibroid in postmenopausal patient-almost the size of a full term pregnancy

Abstract

Uterine fibroids are benign monoclonal neoplasms of myometrium, representing most common tumours in women worldwide. This is a case report for a huge fibroid uterus came in out-patient department (OPD) with complaints of pain in abdomen and breathlessness. The patient is a 58 year old lady with ultrasonography (USG) suggestive of a large uterine fibroid of 19 centimeter (cm) in size. The patient was admitted for total abdominal hysterectomy in view of such a huge fibroid. She was a known hypertensive on medications for the same. A vertical left paramedian incision was taken and hysterectomy was done for the patient. Post-operative period was not significant. The sample was sent for histopathology which showed large uterine fibroid with degenerative changes. The case was managed by a team of physician, gynecologist, anesthetist and intensive care specialist. The patient outcome was good.