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What is A 40 year old woman who presented with severe abdominal pain, fever and nausea was taken up for explorative laparotomy. It revealed a purple red tumour on the uterus with fishy odour. On careful examination some of the large veins on the tumour were thrombosed. What is the possible diagnosis? and explain in detail?
Red degeneration is a complication of uterine myoma, though it mostly occurs in pregnancy it is not a rare cause of painful myomas in woman over the age of 40. Sarcomatous change in myoma is extremely rare and is yellow - gray in colour with haemorrhages to the naked eye. Ref: Shaw's Textbook of Gynaecology, 13th Edition, Pages 340-41.