A challenging and remarkable gynecological case was successfully managed at Sushruta Multispecialty Hospital & Research Centre, where Dr Ramalingappa Antaratani, assisted by Dr Sangeeta Antaratani, performed a Total Abdominal Hysterectomy for a patient with a massive multiple fibroid uterus.
Patient Presentation
A 50-year-old female patient presented with:
- Persistent abdominal pain
- Feeling of abdominal heaviness for the past 3 months
The patient was also a known case of:
- Hypertension
- Hypothyroidism
Both conditions were under regular medical treatment.
Clinical Evaluation & Diagnosis
Following detailed evaluation, the patient underwent:
- Physical examination
- Blood investigations
- Pelvic ultrasound imaging
Findings:
A significantly enlarged uterus measuring approximately 28 weeks size (equivalent to a 7-month pregnancy) with multiple fibroids was identified.
Final Diagnosis:
✅ Huge Multiple Fibroid Uterus
Uterine fibroids are benign growths arising from the muscular wall of the uterus and can cause:
- Pelvic pressure and heaviness
- Pain abdomen
- Excessive menstrual bleeding
- Abdominal enlargement
- Urinary or bowel symptoms
Advanced Surgical Management
Considering the massive uterine size and multiple fibroids, the team performed:
Total Abdominal Hysterectomy
Key Surgical Highlights:
- Procedure performed under spinal anesthesia
- Surgery completed through a mini laparotomy incision of approximately 5 cm
- Approximately 2 kilograms specimen (uterus with multiple fibroids) successfully removed
Despite the complexity of the case, the surgery was completed safely with excellent surgical precision.
Benefits of Minimally Sized Incision in Large Fibroid Surgery
Using a smaller incision even in a large fibroid case offers advantages such as:
✔ Reduced postoperative pain
✔ Faster mobilization
✔ Better cosmetic outcome
✔ Lower wound-related complications
✔ Quicker recovery
The patient had a smooth postoperative course and was:
- Closely monitored
- Mobilized appropriately
- Discharged uneventfully after 4 days
Why This Case Is Significant
Managing a 28-week size fibroid uterus weighing nearly 2 kg is surgically demanding and requires:
- Advanced gynecological expertise
- Careful preoperative planning
- Skilled surgical execution
This successful outcome reflects the capability of
Sushruta Multispecialty Hospital & Research Centre in handling complex gynecological conditions with patient-centered care.
When Should Women Seek Medical Attention for Fibroids?
Women should consult a gynecologist if they experience:
- Heavy menstrual bleeding
- Abdominal enlargement or heaviness
- Persistent pelvic pain
- Frequent urination
- Fatigue or weakness
Early diagnosis can prevent complications and improve treatment outcomes.
Comprehensive Gynecological Care in Hubli
At Sushruta Multispecialty Hospital & Research Centre, advanced treatment is available for:
- Fibroid uterus management
- Hysterectomy procedures
- Menstrual disorders
- High-risk gynecological surgeries
Under the guidance of
Dr Ramalingappa Antaratani, patients receive evidence-based and compassionate gynecological care.
Contact Us
This case demonstrates the importance of timely diagnosis, accurate imaging, and surgical expertise in managing rare gynecological anomalies. At Sushruta Multispecialty Hospital & Research Centre, we remain committed to offering comprehensive gynecological care, combining advanced diagnostics and specialist surgical skills to ensure the best outcomes for our patients.
👩⚕️ Consultant: Dr. Sangeeta Antaratani, Senior Obstetrician & Gynaecologist
📍 Location: Sushruta Multispecialty Hospital & Research Centre, Hubli, Karnataka
📞Contact us or whatsapp : +91 9448112567