For citation purposes: Marwah S, Mangal H, Shivran KD, Marwah N. Pedunculated leiomyoma of the uterus presenting as a large abdominal mass. OA Case Reports 2013 Nov 15;2(14):138.

Case report

 
Surgery

Pedunculated leiomyoma of the uterus presenting as a large abdominal mass

S Marwah, H Mangal, KD Shivran, N Marwah
 

Authors affiliations

(1) Department of Surgery, Post graduate Institute of Medical Sciences, Rohtak, Haryana, India-124001

(2) Department of Pathology, Post graduate Institute of Medical Sciences, Rohtak, Haryana, India-124001

* Corresponding author Email: drsanjay.marwah@gmail.com

Abstract

Introduction

This paper reports a case of pedunculated leiomyoma of the uterus presenting as a large abdominal mass.

Case report

A middle-aged pre-menopausal woman presented with pain and a large intra-abdominal lump in the lower abdomen. Ultrasonography showed a large, rounded, hypoechoic mass with septations. Contrast-enhanced CT scan of the abdomen demonstrated a large heterogeneous, predominantly hypodense mass lesion in the abdomen and pelvis with heterogeneous irregular enhancing hypodensity within it. However, the organ of origin could not be identified with investigations and the patient was explored with the possibility of pseudopancreatic cyst or mesenteric cyst. Operative findings revealed a large pedunculated fibroid arising from the uterine fundus and occupying almost whole of the abdomen and pelvis.

Conclusion

Although fibroids usually have a characteristic appearance on sonography, degenerating fibroids can have variable patterns and pose diagnostic challenges.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords