Volume 14, Issue 3 (3-2016)                   IJRM 2016, 14(3): 217-220 | Back to browse issues page


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1- Department of Obstetrics and Gynecology, School of Medicine, Ankara University, Ankara, Turkey , brahimyalcin73@hotmail.com
2- Department of Obstetrics and Gynecology, School of Medicine, Ankara University, Ankara, Turkey
Abstract:   (2702 Views)
Background: Leiomyomas are the most common benign tumors of the uterus. Removal of the prolapsed pedunculated submucous myoma represents a distinct entity. Evaluation and treatment of such cases may need intervention via the hymen.Mini-laparotomic management of a pedunculated submucous myoma while preserving hymen integrity in a virginal patient is described as a safe alternative..
Case: A 30-year old, nulliparous virgin woman admitted to the outpatient- clinic with the complaint of irregular menstrual bleeding ongoing for three months. Pelvic ultrasound revealed a 5×6 cm solid mass in the cervico-vaginal location that filled the vaginal margins. Due to the patient’s consistent desire for preserving hymenal integrity, mini-laparotomic colpotomy was performed and the mass was removed successfully.
Conclusion: Mini-laparotomic colpotomy, preserving hymen integrity, provides excellent visualization and it is a convenient and effective tool in the management of a cervicovaginal pedunculated submucous myoma.
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Type of Study: Original Article |

References
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