{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:21:51Z","timestamp":1793496111867,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Uterine fibroids, or Leiomyoma is a type of Smooth Muscle Tumors of the uterus (SMTs) and are common in the black race. Giant uterine fibroids, on the other hand, are uncommon and may occur during patient dissimulation. Dissimulation may occur because of a dread of surgery and hospitals visits, fear of surgical death, chronic intake of herbal concussion, and a religio-traditional strong belief system on instant healing following prayers, among others. Myths like belief of defecating the uterine fibroids, some herbs that can melt them away, and the belief that such illness may follow ancestral curses can fuel dissimulation. The surgical approach can be a source of challenge, careful case selection considering the size and number of tumors can be helpful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>We present a 35-year-old nulligravida who presented to the clinic with a 14-year history of progressive abdominal swelling. Examination revealed a firm mass with a symphysio-fundal height of 55\u2009cm. She subsequently had an open abdominal myomectomy with all the myoma nodules weighing 12.9\u2009kg in total! Histology confirmed uterine fibroid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is possible to offer open myomectomy in patients with giant uterine fibroid following careful patient selection with a consent for possible hysterectomy. Dissimulation can be minimized with repetitive counseling of patients. The choice of surgery depends on the size and number of uterine fibroids, but surgical approach does not necessarily influence fecundity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476241274689","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T21:20:12Z","timestamp":1726262412000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Giant \u201cHydra Headed\u201d Uterine Fibroid in a Nullipara: A Case Report"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4698-6226","authenticated-orcid":false,"given":"Emeka","family":"Igbodike","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Havana Specialist Hospital, Surulere, Lagos, Nigeria"},{"name":"Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals, Ile-Ife, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ijeoma","family":"Iwuala","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Havana Specialist Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chijioke","family":"Mbonu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Havana Specialist Hospital, Surulere, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugwu","family":"Okechukwu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria"},{"name":"Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Funtua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Federal Teaching Hospital Katsina, Katsina, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0390-2152","authenticated-orcid":false,"given":"George","family":"Eleje","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"},{"name":"Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital Nnewi Campus, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Akinjo","sequence":"additional","affiliation":[{"name":"Department of Anatomic and Molecular Pathology, College of Medicine University of Lagos, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akaninyene","family":"Ubom","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals, Ile-Ife, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Ikechebelu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"},{"name":"Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital Nnewi Campus, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Anunobi","sequence":"additional","affiliation":[{"name":"Department of Anatomic and Molecular Pathology, College of Medicine University of Lagos, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onwudiegwu","family":"Uche","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bayelsa Medical University, Yenagoa, Bayelsa State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"bibr1-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1016\/j.cytogfr.2023.10.002"},{"key":"bibr2-11795476241274689","first-page":"385","volume":"54","author":"3rdEvans AT","year":"1979","journal-title":"Obstet Gynecol"},{"key":"bibr3-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-224052"},{"key":"bibr4-11795476241274689","doi-asserted-by":"publisher","DOI":"10.31248\/JPHD2021.102"},{"key":"bibr5-11795476241274689","first-page":"71","volume":"81","author":"M\u00fcller R","year":"2016","journal-title":"Cesk Gynekol"},{"key":"bibr6-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-021-02959-3"},{"key":"bibr7-11795476241274689","doi-asserted-by":"publisher","DOI":"10.30574\/wjarr.2023.19.3.1712"},{"key":"bibr8-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60010064"},{"key":"bibr9-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X211063137"},{"key":"bibr10-11795476241274689","first-page":"233","volume":"15","author":"Ezugwu E","year":"2014","journal-title":"J Reprod Infertil"},{"key":"bibr11-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2021.106416"},{"key":"bibr12-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1721351"},{"key":"bibr13-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607264"},{"key":"bibr14-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1186\/2193-1801-3-678"},{"key":"bibr15-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-015-1318-7"},{"key":"bibr16-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-222"},{"key":"bibr17-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3390\/surgeries4030041"},{"key":"bibr18-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3390\/ijms18112435"},{"key":"bibr19-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3109\/10520295.2014.952339"},{"key":"bibr20-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8050691"},{"key":"bibr21-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1016\/j.soc.2022.03.011"},{"key":"bibr22-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199406000-00001"},{"key":"bibr23-11795476241274689","doi-asserted-by":"publisher","DOI":"10.1159\/000468932"},{"key":"bibr24-11795476241274689","doi-asserted-by":"publisher","DOI":"10.3390\/surgeries5020016"},{"key":"bibr25-11795476241274689","first-page":"001","volume":"4","author":"Henry CN","year":"2020","journal-title":"J Trop Med"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241274689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476241274689","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241274689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:14:33Z","timestamp":1777454073000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476241274689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":25,"alternative-id":["10.1177\/11795476241274689"],"URL":"https:\/\/doi.org\/10.1177\/11795476241274689","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"11795476241274689"}}