title: Management of uterine giant myoma.
abstract: BACKGROUND
  Giant myomas of the uterus are uncommon, particularly in developed countries.
  
  
  METHODS
  This report illustrates a case of a woman with a bilobated giant myoma of the uterus weighed in total 27.7 kg. The patient had an abdominal distension first noted 18 months before and the personal history evidenced difficulties in walking and tiredness. Abdominal hysterectomy and bilateral salpingo-oophorectomy were carried out.
  
  
  CONCLUSIONS
  The knowledge of the different clinical manifestation of these myomas may allow to face that with adequate perioperative care, in order to assure a carefully and successfully surgery, although sometimes a benign pathology may be not easy to suspect in a first time.
authors: Institute of Obstetrics and Gynecology, Ospedaliriuniti Foggia, University of Foggia, Foggia, Italy.
authors: Luigi
authors: L
authors: Nappi
authors: Maria
authors: M
authors: Matteo
authors: Silvio
authors: S
authors: Giardina
authors: Piergiorgio
authors: P
authors: Rosenberg
authors: Ugo
authors: U
authors: Indraccolo
authors: Pantaleo
authors: P
authors: Greco
mesh_terms: D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006554:Hernia, Umbilical / Q000209:etiology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D010052:Ovariectomy; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*