Symptomatic Uterine Leiomyoma               Orient Journal of Medicine                     Vol 24 [3-4] July-Dec, 2012
CASE REPORT

Symptomatic Uterine Leiomyoma in a 65-year old Postmenopausal Virgin: a case report
Betrand O NWOSU
Joseph O UGBOAJA
Anthony O IGWEGBE
George U ELEJE
Livinus OKOR
Stanley I ETONIRU

Department of
Obstetrics and Gynaecology
Nnamdi Azikiwe University
Teaching Hospital
Nnewi, NIGERIA

Received: September 23rd, 2012
Accepted: October 6th, 2012
  ABSTRACT

A case of symptomatic uterine leiomyoma coexisting with cervical intraepithelial neoplasia (CIN) III in a 65-year old postmenopausal virgin is reported. She presented with constipation suggestive of intestinal obstruction with no history of previous surgery, and investigations confirmed a calcified uterine leiomyoma. She had exploratory laparotomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathological examination confirmed uterine leiomyoma and concomitant severe cervical intraepithelial neoplasia (CIN III). Symptomatic uterine leiomyoma in an elderly postmenopausal woman is rare, and its coexistence with CIN III in a virgin, is even rarer. Total abdominal hysterectomy with bilateral salpingo-oophorectomy remains the treatment of choice in our environment. This, possibly, is the first reported case in Nigeria.

Keywords: Cervical, intraepithelial, ischaemia, neoplasia, hysterectomy, salpingo-oophorectomy
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