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Obstetrics and gynaecology
Submucous leiomyoma: an uncommon cause of heavy menstrual bleeding in early adolescence
  1. Daniela Agostinho David1,
  2. Ângela Reis Rodrigues1,
  3. João Amaral2 and
  4. Fernanda Geraldes1
  1. 1Department of Gynecology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  2. 2Department of Pathology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  1. Correspondence to Dr Daniela Agostinho David; danielasadavid{at}gmail.com

Abstract

Uterine leiomyomas are rare in the paediatric population. This report describes a rare case of a submucous leiomyoma in an adolescent girl. The patient presented with a history of abnormal and painful period which was refractory to medical treatment. Sonographic findings revealed a uterine mass that protruded through the cervix until the upper third of the vagina. A hysteroscopic resection was performed, and a pathological examination confirmed a leiomyoma. 12 months after surgery, there were no signs of recurrence. Conservative sparing-fertility management, such as hysteroscopic resection, is the best option with a type 0 submucosal fibroid, especially in adolescents and young women.

  • obstetrics and gynaecology
  • paediatrics

https://doi.org/10.1136/bcr-2023-258426

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: DAD, ARR, JA, FG. The following authors gave final approval of the manuscript: DAD, ARR, JA, FG.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.