title: Giant prolapsed submucous leiomyoma: a surgical challenge for gynecologists.
abstract: We present a case of a 45-year-old woman who presented with irregular vaginal bleeding and menorrhagia for two months, with an episode of massive bleeding initiating 24 hours before with hemodynamic shock. Vaginal inspection showed a soft, rounded, friable mass in vaginal introitus. After hospitalization, blood transfusion and hydration, she was submitted to vaginal myomectomy with the withdrawal of a 12-cm white, solid, huge, pedunculated, leiomyoma; however, hysterectomy was performed due to persistent uterine bleeding. The postoperation period had no complications. Macroscopy showed a retraction of the myoma pedicle. Gynecologists should prioritize clamping of a pedicle before surgery, reducing its size if the tumor is large.
authors: Department of Gynecology and Obstetrics, Urogynecology Division, Faculty of Medicine of Ribeirão Preto, São Paulo University Ribeirão Preto, SP, Brazil. lgobrito@gmail.com
authors: L G O
authors: LG
authors: Brito
authors: P S
authors: PS
authors: Magnani
authors: A Eugênio
authors: AE
authors: de Azevedo Trapp
authors: M M
authors: MM
authors: Sabino-de-Freitas
mesh_terms: D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D007889:Leiomyoma / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D008595:Menorrhagia / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*