121 Miomas uterinos-miomectomias como cirurgias conservadoras

Abstract

Fibroids are benign tumors with a high prevalence among women of reproductive age. Their clinical presentation is heterogeneous, including abnormal uterine bleeding, pelvic pain, and infertility. The gold standard for diagnosis is ultrasonography, with magnetic resonance imaging and hysteroscopy serving as complementary methods. Treatment varies according to the patient’s individual characteristics, with a focus on fertility preservation to guide clinical or surgical intervention. This report describes the case of a 31-year-old patient diagnosed with uterine fibroids who underwent myomectomy. During the procedure, 121 fibroids were removed, including subserosal and intramural fibroids of varying sizes, ranging from 0.5 cm to 10 cm in diameter within the uterine cavity. The procedure was successful, preserving the uterus, fallopian tubes, and ovaries. This case highlights the importance of an individualized approach to the management of uterine fibroids, emphasizing the role of multidisciplinary teams and modern techniques. Myomectomy proved effective in preserving fertility in complex cases, with rigorous follow- up required to ensure favorable outcomes.