AI Summary & Key Takeaways
AI InsightFour units of blood was required intra and postoperatively.İn large vaginal leiomyomas located in the upper part of the vagina combined abdominovaginal approach may be prefferred for providing safer operation with less bleeding.
📌 3 Key Takeaways
Abstract
17 year old girl complaining of pelvic swelling mass and urinary frequency was reported. Ultrasonography and abdominal computed tomography showed a solid mass with size of 130x121x117 mm in left pelvis, normal sized uterus.At laparotomy there was solid mass under the bladder located at the left anterior part of the elevated uterus. With an incision at the anterior serosa of the uterus the bladder was removed. There was a vaginal myoma at the base seperate from the uterus. Second insicion was performed to the left anterior vaginal wall, mass enucleated from its base. Four units of blood was required intra and postoperatively.İn large vaginal leiomyomas located in the upper part of the vagina combined abdominovaginal approach may be prefferred for providing safer operation with less bleeding.
Özet
Pelvik bölgede kitle hissi ve sık idrara çıkma yakınması olan 17 yaşında vaginal leiomyom olgusu sunuldu. Ultrasonografi ve abdominal bilgisayarlı tomografi sonucunda sol pelvik bölgede lokalize, 130x121x117 mm çapında solid bir kitle ve normal boyutlarda uterus izlendi.Laparatomide ,sol pelvik bölgeyi kaplayan, mesane tabanı altında uterusu yukarıya doğru iten solid kitle saptandı. Uterusun anterior serozasına yapılan bir insiz-yonla mesane ekarte edilerek uterusun altında vaginal leiomyom gözlendi. Sol anterior vaginal duvara ikinci bir insizyon uygulanarak kitle eksize edildi.İntraoperatif ve postoperatif toplam 4 ünite kan transfüzyonu yapıldı.Vaginanın üst bölümünde lokalize geniş çaplı leiomyom olgularında abdomino-vaginal yaklaşım daha az kan kaybı ve cerrahi güvenlik açısından tercih edilebilir.