Tanvi Arora (name changed), a 39-year-old Mumbai resident, was in a state of shock when she discovered that her enlarged abdomen was not excess fat, but a result of parasitic fibroids which were developing in her intestines.
The parasitic fibroid, which weighed 5.5kg, was removed by doctors at Kokilaben Dhirubhai Ambani Hospital, Mumbai, in a three-hour-long surgery. They claim that this is country’s largest parasitic fibroid which has been removed till date.
Dr Anshumala Shukla Kulkarni, Gynaecology Laparoscopic and Robotic Surgeon and Dr Jaydeep Palep, Surgeon, successfully operated on Arora to relieve her of the pain.
Parasitic fibroids are generally not diagnosed easily as they tend to grow outside uterus walls. While it causes pain and discomfort in abdomen, they can also be present without any symptoms.
After careful examination, doctors discovered a fibroid measuring 12×13 cm growing on interiors of Arora’s large intestines.
“The patient came to us with complaint of feeling heaviness in her abdomen. We also detected a hard mass in abdominal area, however none of the scans revealed about abnormal origin of fibroids or their sizes. She tolerated the surgery, which went well, and her stay in the hospital remained uneventful,” said Kulkarni.
The doctors had planned for a laparoscopic removal of fibroid and uterus. However, the abnormal blood supply from intestine required an open surgery, informed Kulkarni.
Surgery for parasitic fibroids in intestines can be difficult and requires vigilant measures to ensure important blood vessels are not cut during the surgery.
When parasitic tumour attains a large size, it might outgrow its new blood supply and undergo further pathological changes, known as degeneration. Hence, it is advisable for women post 35 years to not ignore any symptoms and also undergo ultrasound sonography at least once a year.