Successful uterine-sparing surgical management in a patient
Uterine fibroids are a common gynecological condition. A key factor when deciding on a surgical approach for fibroid management is a patient’s age and desire for fertility with uterine-sparing treatment generally recommended in women who are aiming for future pregnancies.

This case report discusses a woman who presented with a very large multi-fibroid uterus. In this case, a hysterectomy was recommended due to safety concerns however, this advice was declined as the patient desired uterine preservation.

Fertility testing showed that the patient was not peri-menopausal and abdominal myomectomy was safely performed to good effect.

This case report outlines the surgical approach undertaken, in addition to considerations for fertility and pregnancy management.

Journal of Surgical Case Reports