Over tümörü olarak öntanısı konulan utero-ovaryen ligamentten kaynaklanan dev ekstra-uterin fibrom
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 giant extra-uterine fibroma originating from an utero-ovarian ligament initially diagnosed as an ovarian tumour
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.
___
- 1. Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology,
symptomatology, and management. Fertil Steril 1981; 36:433-45.
- 2. Day Baird D, Dunson DB, Hill MC, et al. High cumulative incidence
of uterine leiomyoma in black and white women: ultrasound
evidence. Am J Obstet Gynecol 2003;188:100-7. doi: http://dx.doi.
org/10.1067/mob.2003.99
- 3. Godbole RR, Lakshmi KS, Vasant K. Rare case of giant broad
ligament fibroid with myxoid degeneration. J Sci Soc 2012;39:144-6.
doi: 10.4103/0974-5009.105921
- 4. Bhatla N. Tumours of the corpus uteri. In : Jeffcoat’s Principles of
Gynaecology. 6th edn. London:Arnold Printers, 2001: 470.
- 5. Fasih N, Prasad Shanbhogue AK, Macdonald DB, et al. Leiomyomas
beyond the uterus: Unusual locations, rare manifestations.
RadioGraphics 2008; 28:1931-48.
- 6. Yuel V I, Kaur V. Broad ligament fibroid - An unusual presentation.
JK Science 2006;8:217-8.
- 7. Kirkham J C, Nero JC, Tambouret RH, Yoon SS. Leiomyoma and
leiomyosarcoma arising from the round ligament of the uterus. J Am
Coll Surg 2008;207:452. doi:10.1016/j.jamcollsurg.2008.01.068
- 8. Vignali M, Bertulessi C, Spreafico C, Busacca M. A large
symptomatic leiomyoma of the round ligament. J Minim Invasive
Gynecol 2006;13:375–6. doi:10.1016/j.jmig.2006.03.008
- 9. Low S, Chong CL. A case of cystic leiomyoma mimicking an ovarian
malignancy. Ann Acad Med Singapore 2004;33:371-4.