A giant extra-uterine fibroma originating from an utero-ovarian ligament initially diagnosed as an ovarian tumour

Abstract

Kırkdört yaşında abdominal kitle ve anemisi olan kadın hastaneye başvurdu. Kadının 4 yıldır kabızlık ve karında palpe edilen kitle şikayeti vardı. Abdominal ultrasonografide 152x142x81mm büyüklüğünde kompleks, solid lobule yapıda kitle izlendi. Laparotomi planlandı. Operasyonda ksifoide kadar uzanan dev, multi-lobule, düzensiz sınırları olan sert kitle görüldü. Kitlenin büyüklüğü yaklaşık 30x15cm idi ve sol utero-ovaryen ligamentten kaynaklanıyordu. Patoloji raporu miksoid degenerasyon gösteren fibrom olarak geldi.

A 44-year-old virgin with abdominal mass and anemia was admitted to our hospital. The patient complained of constipation and a palpable mass in the abdomen for about 4 years. On transabdominal ultrasonography, a giant, complex, solid, lobulated mass 152x142x81mm in size was observed. Exploratory laparotomy was performed. There was a giant, multiple lobulated irregular-shaped solid mass occupying the whole abdomen, reaching the xiphioid and infiltrating the omentum. The size of the mass arising from the left utero-ovarian ligament was approximately 30x15cm. The histopathologic report confirmed the diagnosis of leiomyoma with myxoid degeneration.