case_images: PMC10474799_01
case_images: exteriorization of the leiomyoma (right) and the gravid uterus (left)
case_images: PAMJ-45-73-g001.jpg
case_images: PMC10474799_01_PAMJ-45-73-g001.jpg
case_images: F1
case_images: Exteriorization of the gravid uterus was then possible with care taken on left-round ligament tension (Figure 1).
case_images: myomectomy: preparation of the leiomyoma vascular pedicle
case_images: PAMJ-45-73-g002.jpg
case_images: PMC10474799_01_PAMJ-45-73-g002.jpg
case_images: F2
case_images: We started by dissecting the right round ligament and opening of the anterior leaflet of the broad ligament to liberate the mass (Figure 2).
case_images: gross specimen: 6.7 kg and 28 x 11 x 13 centimeters
case_images: PAMJ-45-73-g003.jpg
case_images: PMC10474799_01_PAMJ-45-73-g003.jpg
case_images: F3
case_images: On histologic examination of the uterus, multiple necrotic and hemorrhagic foci were identified at implantation site of the tumor; the mass was described as a "giant" leiomyoma of 6.7 kg and 28 x 11 x 13 centimeters (Figure 3), with extensive areas of edema and inflammation; the tubes were found to be both invaded by inflammatory cells (Figure 4).
case_images: uterine leiomyoma with multiple ectatic vessels and edematous areas, hematoxylin and eosin, 400x
case_images: PAMJ-45-73-g004.jpg
case_images: PMC10474799_01_PAMJ-45-73-g004.jpg
case_images: F4
case_images: On histologic examination of the uterus, multiple necrotic and hemorrhagic foci were identified at implantation site of the tumor; the mass was described as a "giant" leiomyoma of 6.7 kg and 28 x 11 x 13 centimeters (Figure 3), with extensive areas of edema and inflammation; the tubes were found to be both invaded by inflammatory cells (Figure 4).