 |
Case Report
large parasitic leiomyoma mistaken for an ovarian mass: A case report
1 Edward Via College of Osteopathic Medicine, Auburn, AL, USA
2 Department of Obstetrics and Gynecology, East Alabama Health, Opelika, AL, USA
Address correspondence to:
Jessica Gocinski
136 Northern Flicker Drive, Auburn, AL 36832,
USA
Message to Corresponding Author
Article ID: 100141Z08JG2023
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Gocinski J, Hensarling KF. A large parasitic leiomyoma mistaken for an ovarian mass: A case report. J Case Rep Images Obstet Gynecol 2023;9(1):31–35.ABSTRACT
Introduction: Uterine leiomyomas, commonly known as fibroids, are benign tumors composed of uterine myometrial tissue which are the most prevalent pelvic masses during female reproductive age. Abnormal uterine bleeding is the most common symptom. When a fibroid undergoes separation from the uterus and grows extensively it can cause difficulty in making an accurate diagnosis and limit potential treatment options.
Case Report: This case report discusses a large pelvic mass found in a 40-year-old female. Because of the size of the mass and inadequate diagnostic imaging, a proper diagnosis was difficult to establish, so the patient underwent surgical management. A total abdominal hysterectomy with bilateral salpingectomy and right oophorectomy was performed with additional unexpected intraoperative findings.
Conclusion: Parasitic leiomyomas can cause atypical patient presentations. They can grow to occupy a great amount of space in the abdominopelvic cavity which can create obstacles during diagnostic workup. This report demonstrates how a relatively rare type of fibroid can be easily misdiagnosed and lead to limited treatment options.
Keywords: Case report, Fibroids, Parasitic leiomyoma, Pelvic mass
SUPPORTING INFORMATION
Acknowledgments
We would like to acknowledge and thank the patient who graciously allowed us to share her story in this article so that it may inform future gynecologic care.
Author ContributionsJessica Gocinski - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Kerri Forrester Hensarling - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Jessica Gocinski et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
