Mioma cervical: anatomía y abordaje quirúrgico de alta complejidad

Abstract

Uterine fibroids are the most recurrent pelvic tumor in women, these are derived from myometrial smooth muscle cells and can be located in any of the three main uterine components: fundus, body and neck (cervix). However, they represent only 5% of all uterine fibroids. A case of a cervical uterine fibroid is presented with the purpose of reviewing the clinical manifestations, and its therapeutic management, with a health history, who attends the gynecology service due to an increase in the volume of the abdomen, progressive, approximately three years of evolution, accompanied by genital bleeding and voiding difficulty. A tumor dependent on the uterus (cervix) is diagnosed and in the transoperative period a large tumor with loss in the pelvic anatomy is confirmed. The ligation of hypogastric arteries in large cervical and giant fibroids is an effective therapeutic resource to minimize bleeding and its complications. Myomatous tumor of the cervix should be taken into account in the differential diagnosis of abdominopelvic masses. From the anatomical point of view, hemorrhagic complications are frequent, so total abdominal hysterectomy with ligation of the hypogastric arteries is a good resource to apply.