Uterine Fibroid Tumour Mimicking Adnexal Mass

  • Marinsek Markovic K Department of Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Kenda Suster N Department of Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Velikonja M Department of Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Kristina Drusany Staric University medical centre Ljubljana
Keywords: degeneration, abdominal pain, adnexal tumor

Abstract

44-year-old healthy woman presented with 2 weeks of lower abdominal pain. Vaginal and abdominal ultrasound revealed a well-circumscribed structure measuring approximately 8x5 cm with anechogenic inclusios. The tumour was considered to belong to the left ovary. The tumour had a solid centre with positive Doppler signal, circumscribed by cystically septate part. Due to consistent pain a laparoscopic examination of the pelvis which revealed a tumour originating from the lateral uterine wall, growing into the broad ligament towards the anterior abdominal wall. Tumour was grey white, firm and hydropically degenerated. The histology revealed a uterine leiomyoma with hydropic degeneration.

Published
2019-03-13
Section
Case Report