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Massive Uterine Fibroids in an Anemic Patient

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Uterine Fibroids

Abstract

The patient is a 28-year-old nulliparous African American female who is referred for evaluation and management of massive symptomatic uterine fibroids, heavy menstrual bleeding, and anemia. She desires fertility in the near future. She has known about her fibroids for 5 years but has been relatively asymptomatic until approximately 1 year ago.

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References

  1. Vargas MV, Moawad GN, et al. Feasibility, safety, and prediction of complications for minimally invasive myomectomy in women with large and numerous myomata. J Minim Invasive Gynecol. 2017;24(2):315–22. doi:10.1016/j.jmig.2016.11.014.

    Article  PubMed  Google Scholar 

  2. Auerbach M, Deloughery T. Single dose intravenous iron for iron deficiency: a new paradigm. Hematology Am Soc Hematol Educ Program. 2016;1:57–66.

    Google Scholar 

  3. Alptekin H, Efe D. Effectiveness of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy. Clin Exp Obstet Gynecol. 2014;41(4):440–4.

    CAS  PubMed  Google Scholar 

  4. Hawa N, Robinson JK, Chahine B. Combined preoperative angiography with transient uterine artery embolization makes laparoscopic surgery for massive myomatous uteri a reasonable option: case reports. I Minim Invasive Gynecol. 2012;19(3):386–90.

    Article  Google Scholar 

  5. Butori N, Tixier H, et al. Interest of uterine artery embolization with gelatin sponge particles prior to myomectomy for large and/or multiple fibroids. Eur J Radiol. 2011;79(1):1–6.

    Article  PubMed  Google Scholar 

  6. Kongnyuy EJ, Wiysonge CS. Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst Rev. 2014;15(8):CD005355.

    Google Scholar 

  7. Hobo R, Neto S, et al. Bradycardia and cardiac arrest caused by intramyometrial injection of vasopressin during laparoscopically assisted myomectomy. Obstet Gynecol. 2009;113(2 pt 2):484–6.

    Article  PubMed  Google Scholar 

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Correspondence to James Robinson MD, MS, FACOG .

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Laparoscopic Tourniquet (MOV 322033 kb)

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Robinson, J. (2018). Massive Uterine Fibroids in an Anemic Patient. In: Moawad, N. (eds) Uterine Fibroids. Springer, Cham. https://doi.org/10.1007/978-3-319-58780-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-58780-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58779-0

  • Online ISBN: 978-3-319-58780-6

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