Broad ligament Fibroid, 8.5Kg
-
Upload
galal-lotfi -
Category
Health & Medicine
-
view
221 -
download
0
description
Transcript of Broad ligament Fibroid, 8.5Kg
![Page 1: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/1.jpg)
Galal Lotfi, MD. MRCOG
Prof. Obstetrics & GynecologySuez Canal University
Egypt
![Page 2: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/2.jpg)
The patient
33 year old mother of two children, presented herself with multiple myomata reaching the xiphisternum with a main complaint of pressure symptoms and difficult breathing. She had a pfannenstiel scar for her two cesarean sections; last one was two years earlier. Laparotomy through pfannenstiel incision and muscle cutting was carried out. There was a 40x 40cm cauliflower broad ligament fibroid with the uterus just sitting on it. Successful myomectomy was carried out.
![Page 3: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/3.jpg)
Ovary
Uterus
Tube
Part of the Mass
The other half of the mass was still incarcerated in the pouch of Douglas, Not Out
Yet
![Page 4: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/4.jpg)
![Page 5: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/5.jpg)
![Page 6: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/6.jpg)
Almost half of the broad
ligament myoma is now out
but still the other half
was incarcerate
d in the pouch of Douglas
![Page 7: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/7.jpg)
![Page 8: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/8.jpg)
The there half in now out
Uterus
![Page 9: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/9.jpg)
Uteru
Uterus
![Page 10: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/10.jpg)
![Page 11: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/11.jpg)
![Page 12: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/12.jpg)
![Page 13: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/13.jpg)
![Page 14: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/14.jpg)
![Page 15: Broad ligament Fibroid, 8.5Kg](https://reader038.fdocuments.us/reader038/viewer/2022102815/55854660d8b42a58788b51fe/html5/thumbnails/15.jpg)
Outcome
• Myoma was removed, 40x40 Cm, 8.5Kg weight
• Uterus, both ovaries and tubes were left intact
• Post operative was uneventful