Are uterine fibroids still symptomatic after menopause? A case report of a 58 year old p 4+0, 5 years postmenopausal woman with huge symptomatic uterine leiomyoma in Lagos, south west, Nigeria
We report a case of huge symptomatic uterine leiomyoma in an obese 58 year old, P4+0 , 5 years postmenopausal woman. She presented with progressive abdominal swelling, weight loss and postmenopausal bleeding. These made us suspect intra-abdominal malignancy, however investigations showed features of benign tumour. She had exploratory laparotomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy. Findings at surgery were consistent with benign abdominopelvic mass. Histological investigation, showed uterine leiomyoma. Huge symptomatic uterine leiomyoma is a rare occurence after menopause. It size at presentation also made definitive diagnosis a dilemma because of the possibility of intra-abdominal malignancy.
Keywords: Postmenopausal, Uterine Leiomyoma, Hysterectomy, Havana Specialist Hospital Limited.
The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use.
This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.