Mrs. Nirmaladevi , a 42 year old female, hailing from Sivakasi, was suffering from abdominal pain for more than a month. She was evaluated at a private hospital in Sivakasi and planned for surgery. During surgery since the tumor was found to be huge, adherent to adjacent organs and advanced instrumentations were not available, they found it difficult to resect and she was referred here for expert management. Here, at Guru Hospital, Madurai, Leaded by Dr.S.G.Balamurugan , Surgical Oncologist, a team of doctors including Dr.B.Kalpana, Obstetrician and gynecologist, Dr.Sekaran, Professor of General Surgery, Dr. Rajkumar, Medical Oncologist and Dr.Gurumoorthy, General Surgeon, evaluated the patient thoroughly with blood investigations and CT scan.
Scan revealed a huge tumor measuring around 35 x 25 x 15cm in the abdomen. She was taken up for surgery .During surgery this large tumor was found arising from the urinary bladder, closely adherent to uterus. Challenges faced by the team were to completely remove the tumor while carefully preserving the bladder and uterus; meticulous surgery was done over 5 hours dissecting the tumor safely from the urinary bladder and uterus. The tumor which was successfully removed weighed 5.5kg. The patient recovered well postoperatively. The final biopsy was reported as Leiomyoma of urinary bladder which is a rare tumor arising from bladder occurring in 1in 1 million population. Inspite of its large size and close proximity to vital organs, the experienced dedicated team made it possible to safely resect the tumor by a meticulous tedious procedure.
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