Red Degeneration of Leiomyoma: An Unusual Presentation

JOURNAL TITLE: Journal of South Asian Federation of Obstetrics and Gynaecology

Author
1. Sadhana Mahore
2. Nirwana Agrawal
3. Savita A Somalwar
4. Nikita Vijay
5. Anjali Kawthalkar
ISSN
0974-8938
DOI
10.5005/jp-journals-10006-1713
Volume
11
Issue
5
Publishing Year
2019
Pages
2
Author Affiliations
1. com.mps.common.model.Contributor@5c261811 ,
2. com.mps.common.model.Contributor@34779187 ,
3. com.mps.common.model.Contributor@32edd199 ,
4. com.mps.common.model.Contributor@523214c2 ,
5. com.mps.common.model.Contributor@3e387805
Article keywords
Benign tumor of uterus, Fibroid uterus, Leiomyoma of uterus, Red degeneration of fibroid

Abstract

Red degeneration of leiomyoma is a rare type of degeneration. Hyaline, calcareous, and fatty degenerations are being more common. It is a medical enigma because of its peculiar and acute presentation associated with pregnancy. Red degeneration of fibroid is very rare in nonpregnant women. Although uncommon, a gynecologist should be aware of the entity for timely diagnosis and treatment. Here two cases of red degeneration in nonpregnant women are reported. In the first case, a woman was reported with menorrhagia, fever, pain, and urinary complaints. Red degeneration of fibroid was not suspected and, to utter surprise, the histopathology report was suggestive of red degeneration of fibroid. In the second case, a woman was presented with a lump and pain in the abdomen, and history of fever. On the basis of the previous experience, clinical diagnosis of red degeneration was considered. It was confirmed by histopathology.

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