ACUTE INTESTINAL OBSTRUCTION: AN UNUSUAL PRESENTATION OF BENIGN UTERINE LEIOMYOMA

DR SUJAMOL JACOB; DR SHILPA NAIR; DR VINEED S

Volume : VII, Issue : I, January - 2017

ACUTE INTESTINAL OBSTRUCTION: AN UNUSUAL PRESENTATION OF BENIGN UTERINE LEIOMYOMA

Dr Sujamol Jacob, Dr Shilpa Nair, Dr Vineed S

Abstract :

Uterine fioids present with a wide range of symptoms with abnormal uterine bleeding and dymenonrrhea being the most common ones. Our patient presented with features suggestive of acute intestinal obstruction– abdominal pain, vomting, constipation and absent bowel sounds. CT Abdomen showed large uterine fioid causing mechanical compression on the large bowels leading to acute large intestine obstruction. She underwent emergency laprotomy and intraoperatvely was found to have early bowel gangrene , multiple fioids adherent to bowel loops and constricting band at the sigmoid colon. Adhesion release, sigmoid colon resection and diversion colostomy was done, followed by subtotal hysterectomy.

This case report highlights that acute intestinal obstruction is a rare complication of benign uterine fioid and should be considered when patients present with the above clinical scenario.