Giant uterine leiomyoma (5 kg) with bunch of 45 fibroids: a challenging case during covid-19 pandemic

Abstract

Leiomyomas are the most common benign tumours of the uterus, arising from the smooth muscles of the uterus but containing varying amount of fibrous tissue. These grow under the influence of oestrogen and progesterone. Fibroids undergo various types of degenerations, most common being hyaline degeneration. Most of them are asymptomatic. Large fibroids may cause pain, pressure symptoms or menstrual dysfunctions. Large fibroids are rare and require expertise to operate them to avoid blood loss, prevent inadvertent injury to ureters, bladder, bowel and the surrounding vital structures. Here we present a case of a large uterine fibroid, disguised as a retroperitoneal mass of an unknown origin, which was managed with expert surgical skills.