Pathological and Histopathological Findings with Complications in Fibroid Uterus

Résumé

Introduction: Uterine leiomyomas, commonly known as fibroids, represent a significant health concern among women, affecting their reproductive health and overall well-being. This study aims to provide a comprehensive understanding of the clinical characteristics, associated complications, and surgical outcomes in patients with fibroid uterus. Methods and materials: 50 patients with fibroid uterus were studied patients; they were admitted from Rangpur Medical College & Hospital's outpatient department of gynecology and obstetrics between March 2011 and March 2012. The age distribution, parity, age of the last child, associated pathologies, histopathological findings, postoperative complications, and hospital stays were analyzed. Data were collected through patient records, surgical reports, and postoperative follow-up assessments. Results: The study revealed a diverse age distribution, with 36% of patients aged 41-50 years and 60% between 31-40 years. Parity analysis demonstrated that 48% of patients belonged to para 3-5 group. Associated pathologies included multiple ovarian cysts (26%), pelvic inflammatory disease (8%), and endometriosis (4%). Histopathological findings indicated that 56% had simple leiomyoma, 12% had leiomyoma with endometrial hyperplasia, and 12% had leiomyoma with adenomyosis. Postoperative complications were observed in 14 patients, with 12% experiencing pyrexia, 12% urinary tract infection, and 4% wound infection. Hospital stays varied, with 60% of patients staying 6-8 days Conclusion: The prevalence of diverse histopathological findings highlights the complexity of these cases. Additionally, the identification of postoperative complications emphasizes the importance of thorough follow-up care. This research contributes to the existing knowledge on fibroid uterus, aiding healthcare professionals in the effective management and treatment of this common gynecological condition.