Echo-Clinical and Therapeutic Comparison for the Management of Uterine Fibroids in the Gynecology-Obstetrics and Medical Imaging Departments of Commune V in the District of Bamako—A Case Report

Introduction: Uterine fibroids (myomas or leiomyomas) are benign tumours and the most common in women of childbearing age. Objective: This paper aims to study the concordance between clinical, ultrasound and surgical findings in the diagnosis and management of uterine fibroids. Observation: Patient aged 32, married for five (5) years, with menarche at 13, infertility for 3 years, no particular history, and nulliparous, consulted for menorrhagia for 10 days. Examination revealed an abdomino-pelvic mass 24 cm long, hard, irregular, bumpy in places, painless, mobilisable in relation to the skin and deep layers. Vaginal examination revealed an enlarged uterus with irregular contours and a posterior myomatous nucleus filling the cul de sac of Douglas. The transparietal ultrasound gave us a general idea of the uterus and the topography of the myomas, and the endovaginal approach gave us a better idea of the characteristics of the different myomas studied by the suprapubic approach. The polymyomectomy proposed, discussed, planned and carried out enabled us to remove 11 myomas with diameters ranging from 88 mm to 28 mm.