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Pramana, Cipta
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Extirpation of a Pedunculated Submucouse Leiomyoma: Case Report Pramana, Cipta; Gaofman, Brian Albert; Azizatusolekhah, Eka Aprilya; Yudhoyono, Parindra Wira
JURNAL KESEHATAN REPRODUKSI Vol 11, No 2 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.104275

Abstract

Background: Uterine leiomyomas are non-malignant neoplasms originating from endometrial tissue. They represent the most prevalent tumor seen in females of reproductive stages. Abnormal uterine bleeding is one of the most common symptoms of leiomyoma. There are several types of myoma, including pedunculated submucous uterine leiomyoma.Objective: To report the case of a pedunculated submucouse leiomyoma extirpation.Method: A 38-year-old woman with complaints of abnormal bleeding without pain. Physical examination showed good general condition. Anemic conjunctiva was found. A gynecological examination found a mass in the external uterine ostium as big as a big toe. Ultrasonography examination showed a mass in the vagina that was stalked towards the uterine cavity. The diagnosis was pedunculated submucous uterine leiomyoma. Leiomyoma extirpation therapy was performed.Results and Discussion: Leiomyomas of the uterus, even when large or numerous, may be asymptomatic. Common signs and symptoms include abnormal bleeding, urinary frequency due to  compression of the bladder, sudden pain from infarction of a large or pedunculated tumor, and impaired fertility. The management of pedunculated uterine leiomyoma if the tumor is small is sufficient to do extirpation but if the tumor is large with a thick stalk, laparotomy must be performed.Conclusion: Extirpation is a surgical intervention prefered therapy for prolapsed pedunculated submucous leiomyoma. It has been seen that small nascent myomas that protrude through the ostium uterine internum can be effectively removed just using extirpation.
Co-Authors Afnita, Nur Astuti, Haryati Azizatusolekhah, Eka Aprilya Biantara, Irgi Binui, Evander Antonio Dewi, Novita Puspita Edy Soesanto Eka Setyowati Evalyn, Elsa Gaofman, Brian Albert Gunarmi Gunarmi, Gunarmi Hadi, Selasih Putri Isnawati Hakim, Riska Ismawati Heru Subaris Kasjono, Heru Subaris Hilwa, Najwa Sufa Isabella, Chentia Misse Issabella, Chentia Misse JOKO SUSANTO Juliati, Juliati Kaesa Siska Hapsari, Shafira Kasio, Yarike Khaliza, Khaliza Kurniawati, Ayu Khuzaimah Kurniawati, Bernice Helsa Lorenza, Gracelia Mona Lubis, Mutia Sari Melyana Nurul Widyawati Merida, Yunri Muaddah, Muaddah Murniati . Pabidang, Siswanto Rachmiyani, Irmiya Rahayu Astuti Rajadiah, Ervina Yuni Sinta, Oka Apri Siregar, Rayhan Al-ghifari Iridansyah Siti Fadhilah, Siti Siti Maimunah Sitti Saleha, Sitti Sufiani, Andi Sulur Joyo Sukendro Sumarlie, Franky Susandari, Cut Tirtana, Arif TRI HARTITI Vivi Yosafianti Pohan Yudhoyono, Parindra Wira