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J Pediatr Adolesc Gynecol. 2011 Oct;24(5):e111-4. doi: 10.1016/j.jpag.2011.04.006. Epub 2011 Jun 29.

Hysteroscopic resection of a symptomatic uterine leiomyoma in an adolescent.

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1
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.

Abstract

BACKGROUND:

Uterine leiomyomas or fibroids are rare in the adolescent population. Hysteroscopic resection is an ideal approach for adolescents with symptomatic intracavitary myomas.

CASE:

A 17-year-old female had a history of menometrorrhagia and symptomatic anemia, and had been hospitalized twice for acute management of heavy bleeding. On pelvic ultrasound and subsequent MRI, a 2 × 3 cm mass was visualized and appeared to distort the uterine cavity. Due to recurrent heavy bleeding, operative hysteroscopy was performed, and a 3-cm intracavitary mass was identified and resected; pathology evaluation confirmed a leiomyoma.

SUMMARY AND CONCLUSION:

Surgical intervention for abnormal bleeding due to a submucosal myoma was more successful than medical treatment. In adolescents, hysteroscopic resection of a symptomatic submucosal myoma is a reasonable minimally invasive management option.

PMID:
21715193
DOI:
10.1016/j.jpag.2011.04.006
[Indexed for MEDLINE]
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