Extirpation of a Pedunculated Submucouse Leiomyoma: Case Report

Abstract

Background: Uterine leiomyomas are non-malignant neoplasms originating from endometrial tissue. They represent the most prevalent tumor seen in females of reproductive stages. Abnormal uterine bleeding is one of the most common symptoms of leiomyoma. There are several types of myoma, including pedunculated submucous uterine leiomyoma.

Objective: To report the case of a pedunculated submucouse leiomyoma extirpation.

Method: A 38-year-old woman with complaints of abnormal bleeding without pain. Physical examination showed good general condition. Anemic conjunctiva was found. A gynecological examination found a mass in the external uterine ostium as big as a big toe. Ultrasonography examination showed a mass in the vagina that was stalked towards the uterine cavity. The diagnosis was pedunculated submucous uterine leiomyoma. Leiomyoma extirpation therapy was performed.

Results and Discussion: Leiomyomas of the uterus, even when large or numerous, may be asymptomatic. Common signs and symptoms include abnormal bleeding, urinary frequency due to  compression of the bladder, sudden pain from infarction of a large or pedunculated tumor, and impaired fertility. The management of pedunculated uterine leiomyoma if the tumor is small is sufficient to do extirpation but if the tumor is large with a thick stalk, laparotomy must be performed.

Conclusion: Extirpation is a surgical intervention prefered therapy for prolapsed pedunculated submucous leiomyoma. It has been seen that small nascent myomas that protrude through the ostium uterine internum can be effectively removed just using extirpation.