Anemia crónica por miomatosis uterina.

Fibroids usually do not cause symptoms early in reproductive life. The exact incidence of fibroids is difficult to determine. A case of a 48-year-old female patient with a diagnosis of uterine myomatosis due to a history of transvaginal bleeding is presented, in order to know the hemodynamic status...

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Bibliographic Details
Main Author: Henríquez Osorio, Joselin Daniela (author)
Format: bachelorThesis
Published: 2020
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Online Access:http://dspace.utb.edu.ec/handle/49000/8389
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Summary:Fibroids usually do not cause symptoms early in reproductive life. The exact incidence of fibroids is difficult to determine. A case of a 48-year-old female patient with a diagnosis of uterine myomatosis due to a history of transvaginal bleeding is presented, in order to know the hemodynamic status through hematic biometry and subsequently the histopathological study of the uterus of said patient. The diagnostic methodology was based on a retrospective study that involved a patient through blood tests, ultrasound and physical examination. The most frequent Leiomyoma is Intramural Leiomyoma, which corresponds to 60.6%, as well as Asymptomatic anemia with oral iron-based treatment (Hb:> 10 <13.9 g / dl) is the most prevalent present in 53.1% of cases. Regarding hematimetric indices, Normochromic Normocytic Anemia is the most frequent with 33.3% cases, followed by Hypochromic Microcytic Anemia with 30.98% cases. In addition, the increase in the size of the leiomyomas is related to the increase in anemia with statistically significant results, a finding that is not related to the number of leiomyomas. The prevalence of uterine myomatosis is higher in premenopausal patients than in postmenopausal women, as is the prevalence of anemia with respect to age range. In addition, the size, number and topographic location of leiomyomas does influence the appearance of anemia in patients with uterine myomatosis. There is a significant difference between the percentages of anemia calculated based on hemoglobin and hematocrit because only hemoglobin has the updated adjustment for height according to the World Health Organization, while for hematocrit values there is a study carried out by the Red Cross in 1984 - 1985 in populations of the Ecuadorian Coast and Sierra.