Ovarian fibroma with liquefaction necrosis—a diagnostic and treatment dilemma—a case report

Jumnoodoo, Ravi; Lo, Jenny S.Y.; English, James

doi:10.1007/s10397-009-0491-5

Cited by 1 publication

(3 citation statements)

References 8 publications

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Section: Introductionmentioning

confidence: 99%

“…Laparoscopy is the standard procedure for dealing with benign adnexal masses that involves less hospital stay, quicker recovery time as well as less postoperative pain [ 18 ]. However, as the risk of misdiagnosis of malignant ovarian tumors remains, so does the risk of rupturing the mass and spillage of potentially malignant cells into the system circulation [ 18 ]. For patients of postmenopausal age, total hysterectomy or oophorectomy are preferable procedures to reduce the risk of rapture of cystic contents, intraperitoneal dissemination, ovarian and/or breast cancer, and repeated surgery in case of recurrence of tumors [ 19 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, as the risk of misdiagnosis of malignant ovarian tumors remains, so does the risk of rupturing the mass and spillage of potentially malignant cells into the system circulation [ 18 ]. For patients of postmenopausal age, total hysterectomy or oophorectomy are preferable procedures to reduce the risk of rapture of cystic contents, intraperitoneal dissemination, ovarian and/or breast cancer, and repeated surgery in case of recurrence of tumors [ 19 , 18 ]. However, in younger or pregnant patients, more conservative surgery is considered to preserve the ovary via laparoscopic approach involving resecting the tumor, untwisting the ovary, and restoring proper blood flow [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Ovarian Fibroma Presents As Uterine Leiomyoma in a 61-Year-Old Female: A Case Study

Borukh¹,

Ilyaev²,

Muminiy³

et al. 2023

Cureus

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Uterine leiomyoma should be considered when a female patient reports symptoms of abdominal pressure and abnormal vaginal bleeding. However, the symptoms of a uterine leiomyoma are vast and overlap with other possible diseases that are difficult to distinguish even with imaging studies. This is why it is important for physicians and healthcare providers to keep an open mind and have a broad differential diagnosis.In this case study, we present a 61-year-old postmenopausal female patient who presented to the emergency department with complaints of pelvic and abdominal pain, as well as vomiting and diarrhea. She was admitted for observation. A complete blood count (CBC), comprehensive metabolic panel (CMP), and urinalysis revealed no abnormalities; a pelvic ultrasound and CT scan reported possible adnexal torsion. The patient remained stable and the pain had subsided when she was seen the next morning by her gynecologist (GYN) who discharged her to follow-up in the office. Subsequent examinations that aided in the diagnosis included, but were not limited to pelvic and transvaginal ultrasounds, an abdominal and pelvic CT, and a pelvic MRI. In this case, the MRI revealed an 11-cm mass that could represent a torsioned pedunculated necrotic fibroid originating from the uterus. Radiology recommended surgical removal. Upon removal and review of the pathology of the mass, it was revealed to be a torsioned, partially necrotic fibroma that had originated from the ovary and not from the uterus, as imaging had originally suggested.

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Section: Introductionmentioning

confidence: 99%