Dilemma in diagnosis of huge uterine fibroid: a case report

Chowdhury, Meenakshi; Gupta, Vineeta; Sharma, Janmejai Prasad; Bijalwan, Anurag

doi:10.5455/2349-3259.ijct20150205

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our case also CT scan was guiding towards the ovarian mass but it came out as degenerated leiomyoma. In a case study by Chowdhury et al, 8 the CT scan abdomen revealed a large abdominopelvic mass likely ovarian mucinous-cystadenoma but it came out as a fibroid, and myomectomy was done, by preserving uterus and both the ovaries.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Predicament of Cystic Degenerated Uterine Leiomyoma Presenting as Ovarian Cyst: A Case Report

Kamei¹,

Devi²,

Kharibam³

et al. 2018

Journal of SAFOMS

View full text Add to dashboard Cite

A large degenerated fibroid may give a false impression of other abdominal gynecological abnormalities like in our case of a 46-year-old para 3, living 3 (P3L3) woman presented to our hospital with the complaint of distension of abdomen since last ten years. The increase in the size of the abdomen was slow initially, but it increased rapidly in last one month. She complained of right abdominal pain for the last one month along with difficulty in breathing and constipation. Abdomen examination revealed a huge abdominopelvic mass and a provisional diagnosis of the ovarian cyst was made clinically. Computed tomography (CT) scan showed a very large cystic lesion arising from the pelvis filling up the abdominal cavity. We planned for laparotomy and proceed. Intraoperatively, a giant cyst occupying the whole abdomen identified and control suction done with removal of ~5 liters of straw-colored fluid. The cyst was found to have adhered to the mesentery and also attached to the fundal area of the uterus. The cyst was severed from the uterus by clamping and cutting the pedicle of the cyst. Uterus and bilateral ovaries were looking normal. Total abdominal hysterectomy with bilateral salpingo-oophorectomy done. Cyst separated from guts and excised. Feeding vessels were from the mesenteric artery. Histopathological examination showed the features of leiomyoma with cystic degeneration. Leiomyoma with cystic degeneration is the rare secondary changes. But they can cause a diagnostic dilemma by mimicking huge ovarian cyst.

show abstract

Section: Discussionmentioning

confidence: 99%