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

  • Olalekan O Awolola
  • Mezie C Ogbuokiri
  • David R Olanrewaju
Keywords: Postmenopausal, Uterine Leiomyoma, Hysterectomy, Havana Specialist Hospital Limited.

Abstract

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.

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eISSN: 0189-5117