Twisted Ovarian Fibroma Mimicking as an Ectopic Pregnancy

Nigam, Aruna; Jain, Shweta; Lal, Pranay

doi:10.17659/01.2013.0016

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…81(92%) of these were associated with uterine tumors, of which 20% were malignant. This emphasizes the need to perform biopsies prior to definitive treatment [9,10]. In this reported case, biopsy was done from the growth in the posterior fornix and from the uterine tumor, but we could not wait for the histopathology report before definitive treatment because emergency surgery had to be done due to threatening auto amputation.…”

Section: Discussionmentioning

confidence: 98%

Management of Acute Non-puerperal Complete Uterine Inversion

Girija¹,

Sudha²

2014

JCR

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Non-puerperal uterine inversion is a rare clinical problem, which usually results from a tumor on the fundus of the uterus. A rare case of acute non puerperal complete inversion of uterus with leiomyomata and carcinoma of cervix (incidental diagnosis) in a 50 year old woman is reported here. She presented with sudden onset of pain abdomen, mass per vaginum on lifting heavy weight and profuse vaginal bleeding. This case is reported for the safe surgical management of acute non-puerperal complete inversion of huge necrotic uterus by combined abdomino-perineal approach. Patient recovered within 24 hours after surgery without any evidence of pelvic peritonitis.

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Section: Discussionmentioning

confidence: 98%

Management of Acute Non-puerperal Complete Uterine Inversion

Girija¹,

Sudha²

2014

JCR

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Section: Discussionmentioning

confidence: 99%

“…These tumors are often asymptomatic despite their large size and are mostly discovered on routine examination [ 1 ]. Sometimes, they manifest with abdominal enlargement, urinary symptoms, abdominal pain [ 5 ], and occasionally withtorsion [ 1 ] which is rare in the postmenopausal patient such us our case [ 14 , 15 ]. Also, ovarian fibromacan mimic ovarian cancer because of his solid nature, his association with ascites, pleural effusions [ 16 ] and elevated CA-125 levels [ 8 ] which is more pronounced in torsion due to necrosis and inflammation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Ovarian fibromas are the most common benign solid tumors of the ovary (1-4%), typically detected in middle aged women [ 1 ], often difficult to diagnose preoperatively and commonly misdiagnosed as uterine fibromas, because of their same pathology, complications, clinical and ultrasonic features [ 2 , 3 ], or sometimes as malignant ovarian tumors because of accompanying ascites and increased serum CA-125 level [ 4 ]. Extra uterine fibromas present greater diagnostic challenge.…”

Section: Introductionmentioning

confidence: 99%

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Large twisted ovarian fibroma in menopausal women: a case report

Boujoual¹,

Hakimi²,

Kouach³

et al. 2015

Pan Afr Med J

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Ovarian fibroma is the most common benign solid tumors of the ovary, commonly misdiagnosed as uterine fibromaor as malignant ovarian tumors. It occurs generally in older perimenopausal and postmenopausal women. Occasionally large fibromas may undergo torsion causing acute abdominal pain. Doppler Ultrasonographyimaging is the choice study. CT and MRI are often needed for further characterization and differentiation from other solid ovarian masses. The choice treatment is surgical removal with intraoperative frozensection. Immunohistochemicalanalysis is recommended to rule out the differential diagnosis. Here we present a case of a postmenopausal woman with a large twisted ovarian fibroma reflecting diagnostic and management difficulties including potential misdiagnosis of the tumor as a malignant ovarian neoplasm that may influence the surgical approach.

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“…This enzyme breaks down the histamine that is responsible for the release of hydrochloric acid from the parietal cells in the stomach [4]. Other plausible factors are nutritious diet, rest, avoidance of smoking, alcohol and use of antacids [5]. Peptic ulcer disease can get complicated when it presents with hemorrhage, perforation or stricture formation.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Perforation in a Lady with Twin Gestation and Severe Preeclampsia

Ranganna¹,

Nalini²,

Hn³

2013

JCR

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We present a case where the clinical manifestation of a duodenal perforation was masked by preeclampsia during the initial workup. A 22 year G2A1, 32 weeks pregnant female presented with symptoms of impending eclampsia and blood pressure of 190/120 mm Hg. Emergency cesarean section was done for failed induction. Subsequently, she developed subacute bacterial peritonitis leading to acute renal failure and disseminated intravascular coagulation. On post-operative day 4, the abdominal wound dressing was stained with greenish yellow discharge when the possibility of a perforated viscus was made. Laparotomy was done on day 6 and a perforation was seen on the anterior part of duodenum. Being vigilant to make an early diagnosis and intervention can reduce the maternal morbidity and mortality associated with duodenal perforation which is a rare occurrence during pregnancy.

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Twisted Ovarian Fibroma Mimicking as an Ectopic Pregnancy

Cited by 6 publications

References 4 publications

Management of Acute Non-puerperal Complete Uterine Inversion

Management of Acute Non-puerperal Complete Uterine Inversion

Large twisted ovarian fibroma in menopausal women: a case report

Duodenal Perforation in a Lady with Twin Gestation and Severe Preeclampsia

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