Abstract
ABSTRACT
Expectant management of a large, symptomatic, intracavitary uterine myoma resulted in uterine expulsion and allowed for easy transvaginal resection. An intracavitary submucous myoma is often resectable hysteroscopically, and a prolapsed myoma is usually resectable transvaginally. This is a report of a large, prolapsing myoma that was managed expectantly. A 33-year-old woman with a missed abortion and a myomatous uterus underwent curettage. Shortly thereafter, she experienced fever, bleeding, menstrual-type cramping, and leukocytosis, which persisted. Four weeks after the curettage, part of a necrotic tumor was seen through a dilated cervical os. After 1 week of close observation, the tumor was seen to be completely prolapsed into the vagina. The necrotic myoma was removed by transection of the stalk, and the patient subsequently did well. For a patient with a large, symptomatic, prolapsing myoma, expectant management should be considered. (J GYNECOL SURG 16:83, 2000)
Get full access to this article
View all access options for this article.