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Case Studies | Anaesthesiology | India | Volume 13 Issue 6, June 2024 | Rating: 5 / 10
A Case of Giant Uterine Leiomyomas Posted for Total Abdominal Hysterctomy with DJ Stenting
Dr. Mohammed Shoeb | Dr. Liqayatul Wadud Al Hadi | Dr. Nirmala B C [2]
Abstract: Background: Leiomyomas are the commonest gynecological tumor found in women. Leiomyomas may appear as a solitary tumor or as a conglomerate mass of uterine leiomyomas presenting as a single uterine tumor. Cases are reported in the literature. Perioperative management of leiomyomas can be challenging due to the large tumor size and the risk of hemorrhage. Case presentation: We report a case of a 46-year-old woman with huge leiomyoma. En bloc tumor resection with a 6000-mL estimated blood loss was planned. The surgical treatment for symptomatic uterine leiomyomas is facilitated by general or regional anaesthesia. General anesthesia was preferred for such cases as surgical resection takes time, incisions will be wide and there will be major hemodynamic variations. We went for regional anaesthesia. It was challenging as the size was big requiring higher levels of block. We describe the case of giant uterine leiomyomas posted for TAH with DJ stenting. Conclusion: The large size and a complex anatomy of this mass presented an unusual challenge for anesthetic management. Appropriate hemodynamic monitoring and blood loss management strategies are particularly helpful for anaesthetic management of huge leiomyomas.
Keywords: Leiomyoma, Regional anesthesia, Hemodynamic monitoring, Case report
Edition: Volume 13 Issue 6, June 2024,
Pages: 914 - 915