Journal of Rural Medicine  2008;4(1):35-37

doi:10.2185/jrm.4.35

A Case Report of Laparoscopic Resection of a Large Leiomyoma of the Ovary That Required an Operation Time of Seven Hours

Satoru Takeuchi

Country

Japan

Language

Japanese

Abstract

Uterine leiomyoma is a common benign tumor. This report concerns a rare case of laparoscopic resection of a unilateral, ovarian leiomyoma requiring seven hours of surgery. A 66-year-old woman (para 2) was referred to Kochi Health Sciences Center because of a pelvic tumor. Transvaginal ultrasonographic examination revealed a pelvic tumor suspected of being a uterine leiomyoma in the cul-de-sac. Total laparoscopic hysterectomy and bilateral salpingo-oophorectomy was performed. A morcellator was used to reduce the volume of the leiomyoma. The uterus and right adnexa were removed via the vagina. When the left ovarian leiomyoma was diminished, it was also removed via the vagina.