INTRALIGAMENTER GIANT MYOMA
Rizky A Ramadhani, Trika Irianta, Umar Malinta , David Lotisna

Obstetric and Gynecology Departement
Medical Faculty
Hasanuddin University
Makassar, Indonesia

Abstract

Background : Myoma is a benign tumor consisting of smooth muscle cells and contains fibrous connective tissue. Intraligamenter myomas include FIGO type 6 and 7 myoma originating from the myometrium on the surface of the serous or pedunculated base and can be intraligamenter. Intraligamenter myomas are the most frequent extrauterine myomas but their incidence is small. Myoma is said to be "giant" when it weighs at 11, 4 kg.

Clinial Case : A woman came to the hospital complaining of stomach enlargement since 7 years ago accompanied by abdominal pain in the last few months. Physical examination showed tumor size from symposiis pubis to siphoideus process. Data from radiology examination is not available but from anatomical pathology examination it is said that it is uterine myoma. Intraoperatively we found a giant intraligamenter myoma measuring 37 cm x 38 cm x 40 cm in the impression of being in a cavity donated with a myoma weight of 13.6 kg.

Result: We performed Total Abdominal Hysterectomy and Bilateral Salpingectomy.

Conclusion : Intraligamenter Giant Myoma are cases with small incidents and have considerable difficulties and complications in surgery.

Keywords: Intraligamenter Giant Myoma, Nulipara, Total Abdominal Hysterectomy.

Topic: Adolescent and reproductive health