RT Journal Article
SR Electronic
T1 Submucous leiomyoma: an uncommon cause of heavy menstrual bleeding in early adolescence
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e258426
DO 10.1136/bcr-2023-258426
VO 17
IS 3
A1 David, Daniela Agostinho
A1 Rodrigues, Ângela Reis
A1 Amaral, João
A1 Geraldes, Fernanda
YR 2024
UL http://casereports.bmj.com/content/17/3/e258426.abstract
AB 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.