Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility

Giant uterine fibroids (leiomyoma or myomas) which are fibroid masses greater than 11.4 kg are very rare. Although benign in nature, it may present with symptoms that impact negatively on the quality of life and health of the patient and impose greater management challenges. We present two cases of...

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Autores principales:	Joseph Ifeanyichukwu Ikechebelu, Boniface Chukwuneme Okpala, George Uchenna Eleje, Cyril Emeka Nwachukwu, Louis Anayo Nwajiaku, Mark Nnoruka
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/72938fe938a94fa882e0603086aeeb5a
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spelling	oai:doaj.org-article:72938fe938a94fa882e0603086aeeb5a2021-12-03T23:33:22ZDelayed presentation of giant uterine fibroids in a Nigerian private specialist health facility2050-313X10.1177/2050313X211063137https://doaj.org/article/72938fe938a94fa882e0603086aeeb5a2021-12-01T00:00:00Zhttps://doi.org/10.1177/2050313X211063137https://doaj.org/toc/2050-313XGiant uterine fibroids (leiomyoma or myomas) which are fibroid masses greater than 11.4 kg are very rare. Although benign in nature, it may present with symptoms that impact negatively on the quality of life and health of the patient and impose greater management challenges. We present two cases of giant uterine fibroids that were successfully managed in a private specialist hospital without complications. Case 1 was a 38-year-old nulliparous Nigerian woman who presented with giant uterine fibroids (11.6 kg) who initially had delay of surgery due to fear that after surgery she may lose her “womb” or not be able to conceive after the operation. Later, she had successful open abdominal myomectomy, with the use of Foley catheters as improvise equipment for tourniquet and abdominal drain. Anti-adhesion agent was not used. Case 2 was a 47-year-old nulliparous Nigerian teacher with giant fibroids (13.2 kg) who also initially had delayed surgery due to fear that fibroid surgery is a major operation that it may get complicated and she may die. Also, she was afraid that she may not have her womb in her next world if she gets reincarnated. She had total abdominal hysterectomy and bilateral salpingo-oophorectomy without complications. For both cases, pre-surgery leiomyosarcoma assessment with computed tomography scan or magnetic resonance imaging and anti-adhesion agent were not used due to very unaffordable high costs. These reports of giant uterine fibroids (leiomyoma or myomas) are very rare gynecological entity, and management can be successful despite overwhelming challenges in low-income countries. Cheaper, affordable and available alternatives (improvises) can be resorted to for tackling its challenges in low-income settings.Joseph Ifeanyichukwu IkechebeluBoniface Chukwuneme OkpalaGeorge Uchenna ElejeCyril Emeka NwachukwuLouis Anayo NwajiakuMark NnorukaSAGE PublishingarticleMedicine (General)R5-920ENSAGE Open Medical Case Reports, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Joseph Ifeanyichukwu Ikechebelu Boniface Chukwuneme Okpala George Uchenna Eleje Cyril Emeka Nwachukwu Louis Anayo Nwajiaku Mark Nnoruka Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
description	Giant uterine fibroids (leiomyoma or myomas) which are fibroid masses greater than 11.4 kg are very rare. Although benign in nature, it may present with symptoms that impact negatively on the quality of life and health of the patient and impose greater management challenges. We present two cases of giant uterine fibroids that were successfully managed in a private specialist hospital without complications. Case 1 was a 38-year-old nulliparous Nigerian woman who presented with giant uterine fibroids (11.6 kg) who initially had delay of surgery due to fear that after surgery she may lose her “womb” or not be able to conceive after the operation. Later, she had successful open abdominal myomectomy, with the use of Foley catheters as improvise equipment for tourniquet and abdominal drain. Anti-adhesion agent was not used. Case 2 was a 47-year-old nulliparous Nigerian teacher with giant fibroids (13.2 kg) who also initially had delayed surgery due to fear that fibroid surgery is a major operation that it may get complicated and she may die. Also, she was afraid that she may not have her womb in her next world if she gets reincarnated. She had total abdominal hysterectomy and bilateral salpingo-oophorectomy without complications. For both cases, pre-surgery leiomyosarcoma assessment with computed tomography scan or magnetic resonance imaging and anti-adhesion agent were not used due to very unaffordable high costs. These reports of giant uterine fibroids (leiomyoma or myomas) are very rare gynecological entity, and management can be successful despite overwhelming challenges in low-income countries. Cheaper, affordable and available alternatives (improvises) can be resorted to for tackling its challenges in low-income settings.
format	article
author	Joseph Ifeanyichukwu Ikechebelu Boniface Chukwuneme Okpala George Uchenna Eleje Cyril Emeka Nwachukwu Louis Anayo Nwajiaku Mark Nnoruka
author_facet	Joseph Ifeanyichukwu Ikechebelu Boniface Chukwuneme Okpala George Uchenna Eleje Cyril Emeka Nwachukwu Louis Anayo Nwajiaku Mark Nnoruka
author_sort	Joseph Ifeanyichukwu Ikechebelu
title	Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
title_short	Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
title_full	Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
title_fullStr	Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
title_full_unstemmed	Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility
title_sort	delayed presentation of giant uterine fibroids in a nigerian private specialist health facility
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/72938fe938a94fa882e0603086aeeb5a
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Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility

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