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8/20/2019 4:05:50 AM | Browse: 176 | Download: 315
Publication Name World Journal of Clinical Cases
Manuscript ID 48899
Country/Territory Italy
Category Obstetrics & Gynecology
Manuscript Type Case Report
Article Title Laparoscopic hysterectomy as optimal approach for 5400 grams uterus with associated polycythemia: A case report
Manuscript Source Unsolicited Manuscript
All Author List Antonio Macciò, Giacomo Chiappe, Fabrizio Lavra, Elisabetta Sanna, Romualdo Nieddu and Clelia Madeddu
Funding Agency and Grant Number
Corresponding Author Antonio Macciò, MD, Chief Doctor, Department of Gynecologic Oncology, Azienda Ospedlaiera Brotzu, Via Jenner, Cagliari 09100, Italy. clelia.madeddu@tiscali.it
Key Words Hysterectomy; Laparoscopy; Myoma; Myomatous erythrocytosis syndrome; Polycythemia, huge uterus; Total laparoscopic hysterectomy
Core Tip Uterine myoma are rarely associated with polycythemia. Here we report the challenging case of an obese patient with a giant fibromatous uterus and associated polycythemia; these factors increased significantly the risk of venous thromboembolism. To reduce such risk, we opted for a laparoscopic hysterectomy, which was preceded by phlebotomy. Laparoscopy was successfully completed without complications. The uterus weighed 5400 g. After surgery the patient’s hematological profile normalized. The final diagnosis was myomatous erythrocytosis syndrome (MES). To our knowledge, this is the first case of laparoscopic hysterectomy in an obese patient with a very large uterus and polycythemia due to MES.
Citation Macciò A, Chiappe G, Lavra F, Sanna E, Nieddu R, Madeddu C. Laparoscopic hysterectomy as optimal approach for 5400 grams uterus with associated polycythemia: A case report. World J Clin Cases 2019; 7(19):3027-3032
Received
2019-05-07 01:06
Peer-Review Started
2019-05-10 02:23
To Make the First Decision
2019-08-02 03:20
Return for Revision
2019-08-02 09:23
Revised
2019-08-03 22:22
Second Decision
2019-08-16 11:50
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2019-08-20 04:05
Articles in Press
2019-08-20 04:05
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2019-09-20 09:42
ISSN 2307-8960 (online)
Open Access This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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