GYANT INTRALIGAMENTARY UTERINE LEIOMYOMA : A CASE REPORT
Dwi Arry Wibowo1,Sharvianty Arifuddin2, Andi Nurshanty Padjalangi3

Abstract

Giant intraligamentary uterine leiomyoma is very rare and can undergo degenerative changes that can pose diagnostic challenges. Hyaline degeneration is the most common type of degeneration. A 49 year old nulliparous woman came to Wahidin Sudirohusodo General Hospital with complaints of an enlarged abdomen since 8 months ago accompanied by abdominal pain intermittent. Ultrasound examination and CT Scan Abdomen showed a large mass originating from the adnexa and extending into the abdominal cavity so that it pushes the surrounding organs.Preoperative diagnosis is cystic ovarian neoplasm.The patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with complications rupture of the ureter.Histopathologic examination reveals uterine leiomyoma with extensive hyaline degeneration.Preoperative evaluation is required to determine the correct preoperative diagnosis and to assess the difficulty of the surgical procedure to be performed to avoid surgical complications.

Keywords: Giant intraligamentary uterine myomas ,hyaline degeneration, total abdominal hysterectomy

Topic: Non-communicable diseases related to women