Fertility-sparing surgery for symptomatic uterine fibroid in young women: a case report

Uterine leiomyoma is very common tumor in women of reproductive age. Clinical manifestation ranges from asymptomatic to heavy bothersome menstrual bleeding or dysmenorrhoea. Considering the patient age, severity symptoms and child bearing medical conservative surgical hysterectomy decided. Herer we are presenting a case A 27 years old Para2 housewife coming middle socioeconomic status was admitted with history chronic lower abdominal pain since last 5 6months. Her period regular but associated bleeding. She normotensive pulse 78/min. mild pallor present clinically. On examination-there swelling situated midline almost globular, firm hard consistency margins well defined except which could not be reached, surface smooth dull on percussion. Vaginal examination revealed vulva normal, vagina cervix looks healthy speculum examination. Bimanual shows pelvi-abdominal large mass seem arisen uterus. Both fornices free. After complete routine ultrasound evaluation diagnosis anterior intramural fibroid made. As wants her fertility preserved so decision open myomectomy taken. Myoma removed completely capsule without interfering uterine cavity. incision closed. Patient stood procedure discharged form hospital.