Olgu Sunumu Medial Calcific Sclerosis (Mönckeberg) Case Report

dinküle- parazitik miyomların olacağı düşünülmelidir
(7). Bu tür miyomların vasküler desteğini gösteren haritalama
bu miyomları adneksiyel veya retroperitoneal
kitlelerden ayırmada faydalı olabilir (18, 19). Bu olgularda
özellikle yeni oluşan vasküler yapılar nedeniyle çok
dikkatli disseksiyon yapılması, olası organ hasarlarını
veya vasküler yaralanmaları engelleyecektir. Özellikle
vasküler anastomozlar olacağından, preoperatif yeterli
kan desteğinin hazırlanması, yeterli cerrahi eksplorasyon,
miyomun lokalizasyonun net değerlendirilmesi,
komşu organlarla olan ilişkinin doğru değerlendirilmesi
ve pelvik anatominin çok iyi bilinmesi bu olgularda
önem kazanmaktadır.
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