Presentation
The patient with a history of fibroid uterus and heavy vaginal bleeding presented to the ED with acute vaginal bleeding and symptomatic anemia (fatigue, dizziness).
Patient Data
Pelvic ultrasound shows multiple uterine fibroids with various localization; cervical well-defined, vascularized lesion that is most likely represent cervical fibroid. There is right ovary corpus luteum cyst. Small amount of complex free fluid is seen at cul-de-sac and right adnexa.
Case Discussion
The patient history, symptoms, and laboratory findings suggested blood loss due to fibroids. Ultrasound findings suggested cervical mass, most likely fibroid. The patient was admitted and scheduled for vaginal myomectomy, exam under anesthesia, uterine packing.
Surgical findings showed prolapsing myoma with a palpable narrow stalk through dilated cervix in the cervical canal. Myoma was removed with endo-loop ligation. Intrauterine Foley balloon tamponade was performed due to mild uterine bleeding. The patient was treated with iron infusion (the patient refused blood transfusion) and discharged to receive Lupron and follow up at the clinic.
Acknowledgements: I would like to recognize Raheleh Taghwaei, MD, Diagnostic Radiology Department, for assisting in the creation of this case study.
Unable to process the form. Check for errors and try again.