GIANT UTERINE FIBROID WITH PHLEGMONA OF THE ANTERIOR ABDOMINAL WALL

Abstract

The authors presented a rare case of giant uterine fibroids in a 52-year-old patient, complicated by phlegmon of the anterior abdominal wall. A visual examination revealed a necrotic area of ​​skin above the navel, measuring 12*10 cm, with purulent contents. On palpation, the abdomen was enlarged due to a space-occupying formation reaching the xiphoid process. The patient was operated on as planned; a suppurated section of the anterior abdominal wall, extending to the aponeurosis, was placed on the operating table. An inferomedian laparotomy was performed with excision of a necrotic, suppurating area of ​​the anterior abdominal wall; a mass formation in the abdominal cavity was cut off from the anterior abdominal wall using a blunt and sharp method. Extirpation of the uterus and appendages was performed. Histological examination revealed a giant uterine leiomyoma with stromal hyalinosis and omentitis. The patient was discharged on the 10th day of the postoperative period in satisfactory condition. The postoperative period proceeded without complications. The presence of advanced cases of uterine fibroids is often encountered in the practice of an obstetrician-gynecologist; patients ignoring the need to undergo regular medical examinations and insufficient medical examination coverage leads to the presence of such complications, which can significantly affect the further quality of life of patients.