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Case Report
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Korean J Obstet Gynecol. 2007;50(2):380-383. Published online February 1, 2007.
- A case of uterine inversion resulted from prolapse of huge pedunculated uterine submucosal leiomyoma.
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Min Jong Song, Sie Hyun You, Min Jung Suh, Ill Young Kook, Joo Hee Yoon
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1Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University, Suwon, Korea. jhyoon@catholic.ac.kr
2Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Cheonan, Korea.
- Abstract
- Uterine leiomyomas are the most common uterine tumors. They are estimated to be present in approximately 20% of all women of reproductive age. They may be present in subserosal, intramural, or submucosal in location within the uterus, or located in the cervix, in the broad ligaments, or on a pedicle. Many studies report that the malignant potential of a preexisting uterine leiomyoma is extremely rare, occuring in less than 0.5%. Uterine leiomyomas may cause a range of syptoms, for example, severe anemia from abnormal uterine bleeding, dysmenorrhea, constipation from rectosigmoid compression, dysuria, frequency, residual sensation due to bladder compression. Patients with those symptoms or "cancer phobia" should be treated. Rare but severe symptoms associated with uterine leiomyomas are rectosigmoid compression, with intestinal obstruction, thrombophlebitis of lower extremities from venous stasis, polycythemia, ascites, severe pain from torsion and infection of prolapsed pedunculated submucosal myoma and uterine inversion from prolase of pedunculated submucosal leiomyoma. Now we report a rare case of uterine inversion resulted from prolapse of huge pedunculated uterine submucosal leiomyoma, which caused hypovolemic shock due to massive uterine bleeding.
Keywords :Huge submucosal leiomyoma;Prolapse;Uterine inversion
