Behrend44 BehrendM. Report of a case of fibromyoma of the uterusweighing 133 pounds removed at operation. Am J Obstet Gynecol. 1930;20 (05):699-702. Doi: 10.1016/S0002-9378(30)90197-4 https://doi.org/10.1016/S0002-9378(30)90...
|
60.7 kg (133.8 lb) |
35 |
9 years |
Enlargement of the abdomen |
Not performed |
Removal of the tumor, no details |
Patient died from pneumonia 48 hours after the surgery |
Oelsner et al.77 Oelsner G, Elizur SE, Frenkel Y, Carp H. Giant uterine tumors: two cases with different clinical presentations. Obstet Gynecol. 2003; 101(5 Pt 2):1088-1091. Doi: 10.1016/s0029-7844(02)02621-2 https://doi.org/10.1016/s0029-7844(02)02...
|
Two cases: 43.176 kg and 13.116 kg |
49 and 54 |
10 and 7 years |
1st case - Slow progressive enlargement of the abdomen, respiratory insufficiency with intubation prior to surgery. 2nd case - abdominal pain and enlargement, weight loss, cachexia |
1st case – urgent laparotomy and no pre-op performed2nd case – tumor size was big and patient could not undergo CT |
1st case – TAH-BSO2nd case – mass removal + TAH-BSO |
1st case evolved well. 2nd case evolved with grand mal convulsions |
Reddy et al.88 Reddy BV, Lee J, Cunningham PL. Giant uterine leiomyoma with air-fluid levels. J Am Coll Surg. 2004;198(05):844-845. Doi: 10.1016/j.jamcollsurg.2003.11.027 https://doi.org/10.1016/j.jamcollsurg.20...
|
17.69 kg (39 lb) |
67 |
20 years |
Increasing abdominal distension + low back pain. Tumor with air-fluid levels preop image |
Only CT – no endometrial bx |
TAH-BSO |
Fibroid with septic degeneration – cefuroxime + metronidazole |
Pérez and Ramón99 Pérez M, Ramón JM. Large abdominal mass due to a giant uterine leiomyoma. Mayo Clin Proc. 2006;81(11):1415. Doi: 10.4065/ 81.11.1415 https://doi.org/10.4065/...
|
27 kg |
40 |
12 months |
Weight loss, increasing abdominal distension |
Normal tumor markers (did not specify). CT-guided fine-needle aspiration biopsy (mesenchymal tumor). |
TAH-BSO + segment of jejunum |
No malignancies – post op uneventful |
Nappi et al.1010 Nappi L, MatteoM, Giardina S, Rosenberg P, Indraccolo U, Greco P. Management of uterine giant myoma. Arch Gynecol Obstet. 2008; 278(01):61-63. Doi: 10.1007/s00404-007-0523-1 https://doi.org/10.1007/s00404-007-0523-...
|
27.7 kg |
|
18 months |
Abdominal enlargement, weight gain of 25 kg |
MRI + US – multilocular mass, undetermined origin. Normal CEA, CA-125, AFP. No endometrial bx |
TAH-BSO + omentectomy |
None |
Amber et al.1111 Amber I, Kennedy G, Martinez H, Pearson JM, Jimenez E. A leiomyomain a cachecticwomanpresenting as a giantabdominalmass. J Radiol Case Rep. 2009;3(10):23-29. Doi: 10.3941/jrcr.v3i10.324 https://doi.org/10.3941/jrcr.v3i10.324...
|
26.94 kg |
47 |
3 years |
Cachexia, giant abdominal mass |
CT with contrast – suspicious of leiomyosarcoma. AFP, CA 19–9 and CEA with normal levels. CA-125 slightly elevated. |
TAH-BSO, appendectomy and partial omentectomy |
Reoperated after 24 hours – hemorrhagic shock – Discharge 3POD |
Semczuk et al.1212 Semczuk A, Skorupski P, Olcha P, Skomra D, Rechberger T, Gogacz M. Giant uterine leiomyomas causing bilateral hydronephrosis coexisting with endometrial cancer in polyp: a case study. Eur J Gynaecol Oncol. 2009;30(03):344-346
|
15.2 kg |
50 |
Not reported |
Bilateral hydronephrosis by abdominal tumor |
No pre-op assessment. |
TAH-BSO. Bilateral double-J catheters insertion before surgery |
Coexisting with endometrial cancer deriving from a polyp |
Savulescu et al.1313 Savulescu F, Iordache I,AlbitaO,HristeaR,DumitruC, IordacheA,etal. Giant uterine leiomyoma. Chirurgia (Bucur). 2011;106(05):665-668
|
18.1 kg |
45 |
10 months |
Increased abdominal size, constipation, urinary loss, urinary frequency, back pain |
US and CT. No endo bx. |
TAH-BSO |
Discharge at POD #6; |
Mate et al.1515 Máté S, Szatmári E, Sipos N, Széll J, Szánthó A, Rigó J Jr. [Giant uterine leiomyoma causing acute symptoms]. OrvHetil. 2013;154 (10):387-390. Doi: 10.1556/oh.2013.29563 https://doi.org/10.1556/oh.2013.29563...
|
13.5 kg |
71 |
Not informed |
Increased abdominal distension, cachexia |
CT. Normal CEA, AFP, B-HCG. CA-125 94 U/mL. |
TAH-BSO |
No complications |
Orazulike et al.1616 Orazulike NC, Green KI, Uzoigwe SA. Giant uterine fibroids: consequences ofdelay in presentation.Eur JObstetGynecolReprodBiol. 2015;194:251-252. Doi: 10.1016/j.ejogrb.2015.06.034 https://doi.org/10.1016/j.ejogrb.2015.06...
|
15.5 kg |
43 |
14 years |
Increasing abdominal distention + pelvic pain |
Only ultrasound. Normal CA-125. No endometrial biopsy |
TAH-BSO |
Discharged POD #7 |
Ezugwu et al.1717 Ezugwu EC, Iyoke CA, Ezugwu FO, Ugwu G. Successful pregnancy following myomectomy for giant uterine fibroid in an infertile woman. J Reprod Infertil. 2014;15(04):233-236
|
16.8 kg |
31 |
8 years |
Progressive abdominal swelling, infertility, weight loss and dyspnea |
Transabdominal US. Authors considered doing CA-125, CT and MRI but did not have funds to request for patient. No endo bx |
Myomectomy |
Elective cesarean section at 38 weeks |
Moris and Vernadakis1818 Moris D, Vernadakis S. Giant uterine leiomyoma mimicking pregnancy. Mayo Clin Proc. 2014;89(06):e53-e54. Doi: 10.1016/j.mayocp.2013.06.029 https://doi.org/10.1016/j.mayocp.2013.06...
|
28.1 kg |
39 |
4 months |
Progressive constipation, increasing abdominal size, back pain, urinary frequency |
Transabdominal US and CT – no ascites, metastases, or enlarged pelvic or para-aortic lymph nodes. No endo bx |
Midline incision – ASH-BSO – Postop uneventful – 10th day |
None |
Sonoo et al.1919 Sonoo T, Tokunaga K, Fukuda T, Nakamura K. Cardiac arrest induced by a giant uterine leiomyoma. BMJ Case Rep. 2015; 2015:bcr2015213370. Doi: 10.1136/bcr-2015-213370 https://doi.org/10.1136/bcr-2015-213370...
|
17.4 kg |
37 |
3 years |
Fatigue for 2 weeks – Hyperkalemia (10.3) and arrived in CPA |
Post-mortem laparotomy – not performed any pre-op |
Post-mortem laparotomy for mass resection |
Death |
Lim et al.2020 Lim PT, Tan CH, Chia HL, Phoon J. Management of a giant uterine leiomyoma. BMJ Case Rep. 2018;2018:bcr2017224052. Doi: 10.1136/bcr-2017-224052 https://doi.org/10.1136/bcr-2017-224052...
|
27.8 kg |
53 |
Not reported |
Massive uterine mass complicating restrictive lung disease |
|
TAH-BSO |
Coagulopathy and hemorrhagic shock |