Evidence map›Paper›PMID 30181399›Full record

ArticleBMJ case reports2018

Management of a giant uterine leiomyoma.

Poh Ting Lim, Chin How Tan, Hui Ling Chia, Jessie Phoon

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Giant "Hydra Headed" Uterine Fibroid in a Nullipara: A Case Report.Clinical medicine insights. Case reports · 2024
    Article
  7. Review
  8. Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
    Review
  9. Papillary Cystadenofibroma of Fallopian Tube: Case Report with a Literature Review.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Poh Ting LimObstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.
Chin How TanAnaesthesiology, KK Women's and Children's Hospital, Singapore, Singapore.
Hui Ling ChiaPlastics, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.
Jessie PhoonObstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine leiomyomas are the most common tumours arising from the female reproductive tract. However, giant myomas, which are greater than 11.4 kg in weight, are exceedingly rare. They may cause a pressure effect on surrounding organs, heart and lungs, which can be potentially life threatening. We present a case of a 53-year-old woman with a massive uterine mass complicated by restrictive lung disease. She underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section and reconstruction of the abdominal wall by the gynaecologists and plastic surgeons. The excised specimen weighed 27.8 kg, which included a benign subserosal leiomyoma measuring 64 by 50.5 by 15 cm. Intraoperative blood loss was 7 L and her postoperative recovery was complicated by coagulopathy and haemorrhagic shock. This case illustrates the pivotal role of multidisciplinary care in the management of complicated surgical patients and the need for careful perioperative care.

Indexed as

Abdominal WallBlood Loss, SurgicalDiagnosis, DifferentialDyspneaFemaleHumansHysterectomyLeiomyomaMiddle AgedOvariectomyPatient Care TeamPostoperative ComplicationsSalpingectomyTomography, X-Ray ComputedUterine Neoplasmsobstetrics and gynaecology

Identifiers

PMID30181399
PMCPMC6129052

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.