Giant uterine fibroid with phlegmona of the anterior abdominal wall

This report presents a rare case of giant uterine fibroids in a 52-year-old patient, which was complicated by phlegmon of the anterior abdominal wall. Physical examination revealed skin necrosis above the navel, measuring 12×10 cm, with purulent content. On palpation, a space-occupying formation reaching the xiphoid process was noted, indicating an abdominal distension. The patient underwent surgery as planned; a suppurated section of the anterior abdominal wall, extending to the aponeurosis, was placed on the operating table. An inferomedial laparotomy with excision of a necrotic, suppurating area of the anterior abdominal wall was performed. Furthermore, a mass in the abdominal cavity was removed using a blunt and sharp method, and extirpation of the uterus and appendages was conducted. Histological examination revealed a giant uterine leiomyoma with stromal hyalinosis and omentitis. The patient was discharged on postoperative day 10 in satisfactory condition. No complications were observed during the postoperative period. Advanced uterine fibroids are common, and ignoring the need to undergo regular medical examinations and insufficient medical examination coverage can lead to such complications, which can significantly affect the quality of life of patients.