We report the case of Ms. D. A, aged 36, with no known medical-surgical history, who was seen for consultation on July 20, 2023 at the LATINO medical clinic located in Bamako (Mali) for an intraabdominal mass lasting several months. associated with heaviness-type pain below the umbilical, hyperpolymenorrhea, urinary frequency, in a picture of desire for children over 10 years old.
The clinical and paraclinical examination concluded with the diagnosis of a giant solitary myoma.
A myomectomy by laparotomy was performed on July 26, 2023. The myoma weighed 1500g with a long axis of 20cm. Histological study of the surgical specimen revealed a uterine leiomyoma.
The postoperative course was unremarkable; the patient was followed by our obstetrician-gynecologist.
Cite this paper
Ye?ly, D. , Moussa, S. , Souleymane, D. B. , Abdou, G. , Yusimi, R. R. , Fanta, D. , Joseph, K. , Alassane, S. , Oumar, S. , Lamine, S. , Moussa, S. , Samba, K. , Bakary, T. D. and Bourama, C. (2024). Giant Intracavitary Solitary Uterine Myoma: About a Case. Open Access Library Journal, 11, e1401. doi: http://dx.doi.org/10.4236/oalib.1111401.
Rongiers, C. (1999) Recommandations pour la pratique clinique: prise en charge des fibromes utérins: facteurs de risque et fréquence. Impact en santé publique. service de gynécologie-obstétrique CHU de Strasbourg.
Foulot, H., Chopin, N., Malartic, C., Fauconnier, A. and Chapron, C. (2005) Myomectomies par laparotomie. EMC-Gynécologie-Obstétrique, 2, 377-383. https://doi.org/10.1016/j.emcgo.2005.08.001
Zimmermann, A., Bernuit, D., Gerlinger, C., Schaefers, M. and Geppert, K. (2012) Prevalence, Symptoms and Management of Uterine Fibroids: An International Internet-Based Survey of 21,746 Wom-en. BMC Women’s Health, 12, Article No. 6. https://doi.org/10.1186/1472-6874-12-6
Elouardighi, A. Soummani. (2012) Les fibromes utérins: Etude rétrospective au service de gynécologie obstétrique “B” du CHU Mohammed VI. Thése n°x/2012, Faculté de Médecine et de Pharmacie-Marrakech, Marrakech.
El-Balat, A., DeWilde, R.L., Schmeil, I., Tahmasbi-Rad, M., Bogdanyova, S., Fathi, A., et al. (2018) Modern Myoma Treatment in the Last 20 Years: A Re-view of the Literature. BioMed Research International, 2018, Article ID: 4593875. https://doi.org/10.1155/2018/4593875
Sohn, G.S., Cho, S., Kim, Y.M., Cho, C.-H., Kim, M.-R., Lee, S.R., et al. (2018) Current Medical Treatment of Uterine Fibroids. Obstetrics & Gynecology Science, 61, 192-201. https://doi.org/10.5468/ogs.2018.61.2.192
Testa, A.C., Di Legge, A., Bonatti, M., Manfredi, R. and Scambia, G. (2016) Imaging Techniques for Evaluation of Uterine Myomas. Best Practice & Research Clinical Obstetrics & Gynaecology, 34, 37-53. https://doi.org/10.1016/j.bpobgyn.2015.11.014
Tiemtoré-Kambou, B.M.-A., Baguiya, A., Lamien, P.D., et al. (2021) Myome, découverte fortuite ou métrorragie: qui dit mieux? The Pan African Medical Journal, 38, Article No. 388. https://doi.org/10.11604/pamj.2021.38.388.20314
Tulandi, T., Murray, C. and Guralnick, M. (1993) Adhesion Formation and Reproductive Outcome after Myomectomy and Second Look Laparoscopy. Obstetrics and Gynecology, 82, 213-215.
Liu, W.M., Tzeng, C.R., Chen, Y.J. and Wang, P.H. (2004) Combining the Uterine Depletion Procedure and Myo-mectomy May Be Useful for Treating Symptomatic Fibroids. Fertility and Sterility, 82, 205-210. https://doi.org/10.1016/j.fertnstert.2004.01.026