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Orient Journal of Medicine

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Symptomatic Uterine Leiomyoma in a 65-year old Postmenopausal Virgin: A case report

BO Nwosu, JO Ugboaja, AO Igwegbe, GU Eleje, L Okor, SI Etoniru

Abstract


A case of symptomatic uterine leiomyoma coexisting with cervical intraepithelial neoplasia (CIN) III in a 65-year old postmenopausal virgin is reported. She presented with constipation suggestive of intestinal obstruction with no history of previous surgery, and investigations confirmed a calcified uterine leiomyoma. She had exploratory laparotomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathological examination confirmed uterine leiomyoma and concomitant severe cervical intraepithelial neoplasia (CIN III). Symptomatic uterine leiomyoma in an elderly postmenopausal woman is rare, and its coexistence with CIN III in a virgin, is even rarer. Total abdominal hysterectomy with bilateral salpingo-oophorectomy remains the treatment of choice in our environment. This, possibly, is the first reported case in Nigeria.



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