Asian Research Journal of Gynaecology and Obstetrics

Giant Uterine Fibroid: A Case Report of a Young Nulliparous Woman and Literature Review

Michael Tyodoo Maanongun *

Department of Obstetrics and Gynecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.

Andrea Avershima Ornguze

Department of Obstetrics and Gynecology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.

Babarinde Ojo

Department of Histopathology, College of Health Sciences, Benue State University, Makurdi, Benue State, Nigeria.

*Author to whom correspondence should be addressed.

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Abstract

Uterine leiomyoma, which arises from uterine smooth muscle, is the most common benign gynaecologic tumour of the female pelvis, however, giant fibroids are very rare in current practice, posing a management challenge. A 28-year-old nulliparous woman presented in a private clinic in Makurdi, Benue State, Nigeria with severe pain and slow growing abdominal mass with pressure symptoms due to a giant uterine fibroid. Intraoperatively, the mass was huge, weighed 11.6kg, was continuous with the uterus and tightly occupied the abdominal cavity with restricted mobility. Myomectomy was done after consideration of the patient’s wishes, fertility concerns and intra operative findings. Patient did well without complications and was discharged on day six.

Keywords: Giant fibroid, uterus, leiomyoma, myomectomy

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