Hysteroscopic management of a "hernia-like" uterine myoma within the uterine cavity

作者全名："Zhao, Chengzhi; Lu, Shen-tao; Wang, Ying; Hu, Pan; Yan, Li; Liu, Ming-bo; Liu, Lu-bin; Lei, Li"

作者地址："[Zhao, Chengzhi; Lu, Shen-tao; Wang, Ying; Hu, Pan; Yan, Li; Liu, Ming-bo; Liu, Lu-bin; Lei, Li] Chongqing Med Univ, Women & Childrens Hosp, Dept Obstet & Gynecol, Longshan Rd 120, Chongqing, Peoples R China"

通信作者："Lei, L (通讯作者)，Chongqing Med Univ, Women & Childrens Hosp, Dept Obstet & Gynecol, Longshan Rd 120, Chongqing, Peoples R China."

来源：FERTILITY AND STERILITY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001031585700032

JCR分区：Q1

影响因子：6.7

年份：2022

卷号：118

期号：6

开始页：1199

结束页：1200

文献类型：Article

关键词：Degenerative myoma; hysteroscopy; myoma; uterine myomectomy

摘要："Objective: To introduce a case of a uterus ''hernia-like'' myoma within the uterine cavity that was successfully treated with hysteroscopy. Design: Step-by-step explanation of the case and surgical procedure using a video and slides. The Medical Ethics Committee of Women and Children's Hospital of Chongqing Medical University approved the study and decided for this video to be exempt from formal approval, and informed consent was obtained from the patient. Setting: Hospital. Patient(s): A 37-year-old woman, gravida 1, para 1, with a history of secondary infertility for 2 years and heavy menstrual bleeding for 7 months, which eventually resulted in anemia, was diagnosed with a type 1 (International Federation of Gynecology and Obstetrics leiomyoma subclassification system) myoma approximately 4 cm in diameter using ultrasonography. Her hemoglobin level was 8.6 g/dL (11.5-15.0 g/dL), red blood cell count was 3.6 x 10(-12)/L (3.8-5.1 x 10(-12)/L), and hematocrit was 26.7% (35%-45%). Intervention(s): Hysteroscopic myomectomy with bipolar resectoscope and transabdominal ultrasound guidance was used to resect the hernia-like myoma. Blunt dissection combined with oxytocin (20 U I.V.) and uterine dilation pressure reduction was used to induce the hernial content (myoma) protrusion into the uterine cavity. Main Outcome Measure(s): The hernia-like myoma was completely resected by hysteroscopy, and all symptoms disappeared. Result(s): The hernia-like myoma was successfully and completely resected by hysteroscopy. The operative time was 37 minutes. No surgical-related or anesthesia-related complications occurred. During the follow-up period, the patient had regular menstrual cycles without hypermenorrhea, and her anemia had improved. The 5-month follow-up ultrasound examination and hysteroscopy revealed that the uterine cavity had recovered well. The patient conceived 7 months after the procedure and delivered at term (39 weeks 1 day) via cesarean section. Conclusion(s): A hernia-like myoma covered with endometrium is a degenerative myoma that herniates into the myometrium and forms a hernia sac-like defect. Hysteroscopy is an effective and feasible method for treating hernia-like myoma. (C) 2022 by American Society for Reproductive Medicine."

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