The patient, an Indian national, visited Aster Hospital Sharjah and complained of severe dysmenorrhea and lower abdominal discomfort that persisted for two weeks.
Upon examination, it was discovered that she had a large uterus with multiple fibroids, some as early as 18 to 20 weeks pregnant. Advanced MRI reports confirmed the presence of multiple fibroids, with the largest measuring 7.5 cm by 6.9 cm posterolaterally, along with other submucosal fibroids.
Dr Jadhav said: “The patient’s case emphasizes the importance of regular gynecological check-ups. Despite having experienced severe pain for many years, the patient had not sought medical attention for more than a decade. Only after a consultation did we discover the extent of the fibroids surrounding her uterus.”
Recognizing the urgency of the situation, the medical team recommended a laparoscopic hysterectomy, a minimally invasive surgical procedure aimed at removing the uterus and cervix.
Dr Sandeep Janardan Tandel, specialist in general and laparoscopic surgery at Aster Hospital Sharjah, said: “Considering the patient’s desire for a quick recovery and her age, laparoscopic hysterectomy was recommended as the preferred treatment option. “This approach ensures faster healing and minimal scarring compared to traditional open surgery.”
The surgical team successfully performed the laparoscopic hysterectomy and removed a 750-gram specimen. Despite the challenge posed by large fibroids and limited abdominal space, the surgery was executed with precision, resulting in minimal blood loss and no blood transfusion required. The patient’s recovery was remarkably rapid and discharge occurred after 48 hours of observation.
Follow-up examinations indicated a healthy wound and the patient resumed her routine after a month and returned to work.
“This case not only demonstrates the effectiveness of laparoscopic surgery in the treatment of uterine fibroids but also highlights the importance of early diagnosis and timely intervention,” said Dr Kranti Lohokare Jadhav.
Vijayalakshmi Ajit Kumar said, “As someone who had not sought gynecological checkups for over a decade, I was not aware of the underlying condition I was facing. The persistent pain I experienced led me to believe it was solely related to menstruation. I didn’t know it was due to multiple fibroids that had gone unnoticed inside my uterus. It was not until I visited the hospital seeking a sick leave certificate that Dr Kranti Lohokare Jadhav recommended a scan, which revealed the truth behind my discomfort.
“The surgery, although challenging due to the size of the fibroids, was performed with precision and care,” he said. “I am amazed by the minimal blood loss and the remarkable speed of my recovery. In just 48 hours I was discharged and a month later I resumed my normal routine, including work.”
Highlights of this case encompass timely identification of symptoms, accurate diagnosis using magnetic resonance imaging, successful laparoscopic hysterectomy, and rapid postoperative recovery of the patient. It is a testament to Aster Hospital Sharjah’s commitment to providing advanced healthcare solutions and emphasizes the importance of regular gynecological check-ups.
He noted that the experience has been a testament to the importance of early diagnosis and timely medical intervention. “I want to emphasize the importance of regular gynecological check-ups for women, even in the absence of apparent symptoms.”