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  • Miom okrogle maternične vezi, ki ponareja klinično sliko dimeljske kile - klinični primer = Myoma of the round ligament mimicking the clinical appearance of the inguinal hernia - a case report
    Pišek, Aleš ; Ismaili, Hatije
    Background. Myomas are the most frequent gynecological tumors. They first occur during puberty; however, they are most frequent among aged between 35 and 50. In this age group their incidence is ... 15-20%. They are rare after menopause. The majority of myomas arise in the uterus, but they may arise fromother extrauterine sites such as the fallopian tubes, ovaries, round ligament, ligamentum latum, sacrouterine ligament, vagina and even the urethra. Most authors agree that there are numerous causes for the occurrence of myomas; however, they have not yet been clearly proven. They however agree that the myomas appear most frequently in the reproductive age, when the ovarian hormone levels are high and they diminish after menopause. They equally agree that the risk factors for the clinically significant myomas are nulliparity, obesity, a positive family history of myomas and African racial origin. Patients and methods. A 43 year-old patient was referred to our institution for operative treatment by her personal gynaecologist who clinically and sonografically verified a solid tumor situated to the rightsideof the uterus. The size of the tumor was that of a newborn's head. The patient, however, had been observing a reponible inguinal hernia the size of a female fist for a period of four years. A solid tumor (22X6X7 cm) arisingfrom the right round ligament, was remowed during surgery. Half of its size was situated in the inguinal canal thus mimicking the clinical appearanceof the inguinal hernia. After the tumor was removed the inner door of the inguinal canal closed by itself, no surgical repair was necessary. On histological examination the tumor was classified as a leiomyoma.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 73, št. 12, december 2004, str. 911-914)
    Vrsta gradiva - članek, sestavni del
    Leto - 2004
    Jezik - slovenski
    COBISS.SI-ID - 19102169

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