logging in or signing up Fibroid uterus ravikanthgo Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 4176 Category: Education License: Some Rights Reserved Like it (2) Dislike it (0) Added: January 26, 2011 This Presentation is Public Favorites: 0 Presentation Description Fibroid uterus by Dr Ravikanth G.O. KVG Medical College Sullia Comments Posting comment... Premium member Presentation Transcript Fibroid uterus : Fibroid uterus By Dr Ravikanth Dept of obgy Fibroid uterus (syn.leiomyoma,fibroma , myoma,) : Fibroid uterus (syn.leiomyoma,fibroma , myoma,) Commonest pelvic tumour-20% Arise from progenitor myosite Composed of muscle tissue with variable amount of connective tissue Frequently multiple may be 200 in one uterus Slow to grow Etiology : Etiology Exact etiology is not known Rare before 20 yrs 20% in over 20 yr age 40%in over 40 yrs age Common in nulliparus and infertile woman ‘Fibroids are the reward of virtue,babies the fruit of sin’ Familial incidence Functional cysts of ovary Ass,-endometrial ca,endometriosis, Sites of fibroid : Sites of fibroid Rare variety : Rare variety Rare variety : Rare variety Parasitic fibroid wombstone symptom : symptom Asymptomatic Menorrhage Metrorhagia Pain abdomen Mass per abdomen General effects on the body : General effects on the body Effects of anaemia Polycythemia –large broad ligament type Hypoglycaemia –in retroperitoneal Dyspepsia Urinary symptoms –frequency,retention Infertility ‘Woman postpones her pregnacy later fibroid postpones it ’ site of fibroid & ass,condition Pregnancy complications Secondary changes : Secondary changes Degenaration atrophy fatty change calcification cystic degenaration red degenaration Torsion Infection Sarcomatous change – 0.2% Plain x-ray Diagnosis : Diagnosis degen haemor fib tvs Contrast enhanced CT Slide 12: Thick endo Endo polyp sonosalphingography tvs Slide 13: egg shell calcification tvs Slide 14: T2 sagital T1 axial T1 sagital MRI Slide 15: Hysteroscoppic view normal Submucosal polyp Differential diagnosis : Differential diagnosis Adenomyosis Pregnancy Ovarian tumour Abdominal tumour –eg.enterogenous cyst Abdominal tuberculosis Management : Management No treatment <12 wk asymptomatic perimenopausal General treatment correction of anaemia Palliative treatment Waiting for surgery - danazol,progestogens,GNRHagonests. Management : Management D&C,or endometrial aspiration Polypectomy Hysteroscopic Myomectomy Only as a Rx of infertility Hysterectomy vagainal , abdominal,laproscopic,LAVH Embolisation Slide 32: Wt 600g Slide 33: 2nd postoperative day Slide 34: After one month Slide 35: After three month Slide 36: Another case 26 wk fibroid Wt -1kg You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.