Total Abdominal Histerektomi dan Bilateral Salpingo Ooforektomi pada Mioma Uteri: Sebuah Laporan Kasus

Izzia Gustiari; Norman Ahmad Riyandi; Armansyah Harahap

doi:10.35324/jknamed.v6i2.269

Izzia Gustiari Rumah Sakit Umum Daerah Cut Nyak Dhien Meulaboh, Aceh Barat
Norman Ahmad Riyandi Rumah Sakit Umum Daerah Cut Nyak Dhien Meulaboh, Aceh Barat
Armansyah Harahap Rumah Sakit Umum Daerah Cut Nyak Dhien Meulaboh, Aceh Barat

DOI: https://doi.org/10.35324/jknamed.v6i2.269

Keywords: Mioma uteri, Tumor jinak, Histerektomi

Abstract

Latar Belakang: Mioma uteri atau fibroid uterus adalah tumor jinak sel otot polos rahim. Tumor ini memiliki batas tegas dan terdiri dari sel jaringan otot polos, fibroid, dan kolagen. Angka kejadian mioma uteri pada wanita usia subur adalah 25–40%, dan pada masa pramenopause mencapai 50-70%. Gejala yang timbul tergantung lokasi, ukuran, perubahan dan komplikasi yang terjadi akibat mioma.

Kasus: Laporan ini menunjukkan wanita usia 46 tahun dengan nyeri perut disertai benjolan di perut semakin membesar. Pemeriksaan fisik perut tampak distensi, umbilical menonjol, teraba massa permukaan bulat berbatas tegas, konsistensi padat dan keras, imobile, nyeri tekan ada. Hasil pemeriksaan ultrasonografi tampak massa hyperechoic intra uterine kesan mioma uteri.

Pembahasan: Dilakukan tindakan operatif yaitu Total Abdominal Histerektomi (TAH) dan Bilateral Salpingo Ooforektomi (BSO), diambil massa mioma dengan berat 3,6 kg disertai pengangkatan uterus, serviks, kedua tuba falofi dan ovarium. Selama operasi maupun setelah operasi tidak ditemukan adanya komplikasi.

Kata Kunci: Mioma uteri, Tumor jinak, Histerektomi

Background: Uterine myomas or uterine fibroids are benign tumors of the uterine muscle cells. These tumors have a definite boundary and consist of the cells of the muscle tissue, fibroid, and collagen. The incidence of uterine fibroids in women of childbearing age is 25–40%, and at the time of premenopause reaches 50-70%. The symptoms that occur depend on the location, size, changes and complications that occur as a result of the fibroid.

Case: This report shows a 46 – year – old women with abdominal pain accompanied by lumps in the abdomen are increasing. The physical examination of the abdomen appears dense, umbilical pronounced, the mass of the round surface is bordered tightly, the consistency is tight and hard, immobile, tenderness in the abdomen. The results of ultrasound examination showed intra-uterine hyperechoic mass, impression uterine myoma.

Discussion: Total Abdominal Histerectomy (TAH) and Bilateral Salpingo Ooforektomy (BSO) were performed, taking a 3.6 kg mass of myoma along with the removal of the uterus, cervix, both the fallopian tubes and the ovaries. No complications were found during or after the surgery.