scholarly journals Torsion of a Uterine Leiomyoma: A Case Report and Review of the Literature

2011 ◽  
Vol 4 ◽  
pp. CMWH.S6780 ◽  
Author(s):  
N.M. Ward ◽  
M.K. Frey ◽  
B.D. Shaktman

A 55 year-old woman presented with abdominal pain. Transvaginal ultasonography demonstrated an enlarged fibroid uterus. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and was found to have torsion of a large pedunculated leiomyoma. There are fewer than 10 cases reported in the literature of torsion of a uterine leiomyoma.

Author(s):  
Luiz Gustavo Oliveira Brito ◽  
Natalia Lysei Ueno ◽  
Maira Rossmann Machado

AbstractUterine leiomyoma is the most prevalent benign type of gynecological tumor. It affects more than 80% of women worldwide and, within this group, more than 50% may be asymptomatic. However, large fibroid volumes may be associated with symptoms of extrinsic compression, and most of the cases do not present atypical cells. We present the case of a 49-year-old woman who underwent a total abdominal hysterectomy of a 13.5-kg uterine leiomyoma with no malignancies at histopathology and review the literature about giant uterine leiomyomas and their clinical repercussion. We concluded that large volumes do not always pose a threat regarding malignancy; however, future molecular studies are needed to investigate giant uterine fibroids.


2005 ◽  
Vol 129 (8) ◽  
pp. 1041-1043 ◽  
Author(s):  
Rachel Redman ◽  
Edward J. Wilkinson ◽  
Nicole A. Massoll

Abstract Adenomyoma is a benign tumor composed of smooth muscle and benign endometrium. These tumors typically originate within the uterus. An extrauterine adenomyoma is a rare entity. We report a uterine-like mass consistent with an extrauterine adenomyoma presenting 22 years following a total abdominal hysterectomy and bilateral salpingo-oophorectomy. The mass was pear-shaped with uterine-type smooth muscle and a cavity lined by functional endometrial glands and stroma. To our knowledge, only 4 other cases of an extrauterine uterine-like mass are reported in the literature. Three involved the ovary, while one was located adjacent to the broad ligament with normal pelvic organs. Although none of these other uterus-like masses were described as adenomyomas with uterine-like features, the histologic findings are strikingly similar. An understanding of the müllerian system suggests that either an embryologic malformation or a differential multipotentiality existing in the subcoelomic tissues in response to hormonal stimulation results in a supernumerary müllerian structure like a uterus, as observed in this case. The presence of endometrial glands and stroma in the mass confirms that the tissues in this mass are hormonally responsive. It is most likely that this uterine-like mass arose from the tissues of the secondary müllerian system in response to estrogenic stimulation.


2006 ◽  
Vol 16 (Suppl 1) ◽  
pp. 379-384
Author(s):  
A. Karateke ◽  
A. Gurbuz ◽  
G. Kir ◽  
B. Haliloglu ◽  
C. Kabaca ◽  
...  

A 40-year-old woman with mucoepidermoid variant of adenosquamous carcinoma arising in dermoid cyst in left ovary is presented. The patient was staged as IC. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and para-aortic lymph node sampling were carried out. The disease recurred in postoperative 12th month. To our best knowledge, this is 12th case of adenosquamous carcinoma in dermoid cyst and third case of mucoepidermoid variant of adenosquamous carcinoma in the literature.


2017 ◽  
Vol 4 (5) ◽  
pp. 1483
Author(s):  
Sheela K. M. ◽  
Shanta Sadashivan ◽  
Keerthi C. P.

Primary carcinoma of fallopian tube is rare and accounts for only 0.7-1.5% of all gynecological malignancies. Majority of the patients are postmenopausal with mean age of 61 years. Study present a case of 48-year-old lady, who underwent total abdominal hysterectomy with bilateral salpingo oophorectomy for a clinical diagnosis of fibroid uterus. Histopathological examination revealed, in addition to intramural fibroids, bilateral serous papillary adenocarcinoma of fallopian tube. We present this case due to its rarity.


2013 ◽  
Vol 5 (1) ◽  
pp. 35-36
Author(s):  
Akhilesh Dutta Dwivedi ◽  
Anjana Agarwal ◽  
Aarti Biswajit Bhattacharya

ABSTRACT We report a case of benign metastasizing leiomyoma (BML) recurring after 4 years of total abdominal hysterectomy with bilateral salpingo-oophorectomy for fibroid uterus. Probably in this case, recurrence was due to extragonadal source of estrogen and progesterone. Therefore, patient was put on antiestrogen and antiprogesterone therapy, after hysterectomy to prevent further recurrence. Through this case, importance of surgery combined with antiestrogen and antiprogesterone therapy is emphasized. How to cite this article Agarwal A, Bhattacharya AB, Dwivedi AD, Kumar A. Benign Metastasizing Leiomyoma: A Very Rare Case Report. J South Asian Feder Obst Gynae 2013;5(1): 35-36.


2018 ◽  
Vol 7 (4) ◽  
pp. 185-186
Author(s):  
Rupa Paneru ◽  
Meena Thapa

Background: Leiomyomas are benign smooth muscle neoplasm that typically occurs from the myometrium. Most of the women with uterine leiomyoma remain asymptomatic. Various degeneration including hyaline, cystic, myxoid and red degeneration and dystrophic calcification occur in leiomyoma, among them myxoid degeneration occurs rarely. Here is a case report of 40 years with one living child and two abortions who came with complaints of feeling of heaviness and pain at lower abdomen for six months, palpable lower abdominal mass for four months and difficulty in passing urine since 15 days. Multiple fibroids with cystic degeneration were suspected in Computed Tomography scan report. The patient underwent Total Abdominal Hysterectomy with Bilateral Salphingectomy. On cut section there was a cystic area on the body of uterus containing 1. 1 liter of straw coloured fluid. Final histopathological findings concluded multiple leiomyoma with myxoid degeneration.


Author(s):  
Recep ERİN ◽  
Yeşim BAYOĞLU TEKİN ◽  
Fatma Gülgün KOÇAK

We aimed to present how to approach to the postmenopausal torsional adnexal masses, accompanied by a case report and literature review. A 90 year-old geriatric age woman with G5P5 admitted to emergency department with complaints of nausea, vomiting and abdominal pain. We detected a tumoral mass with solid component and irregular surface suspected malignancy in the midline of the pelvis. Laparotomy was performed due to the suspicion of torsion and malignancy. We detected a approximately 25 cm torsional blue-purple colored tumoral mass originating from the right ovary and performed total abdominal hysterectomy and bilateral salpingo-oferectomy. Pathology was reported as a sex cord stromal tumor with torsional. The patient was discharged with complete recovery on the 3rd postoperative day. Adnexal torsion is a gynecologic emergency. It should be considered in postmenopausal women who present with abdominal pain and adnexal mass.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.


Sign in / Sign up

Export Citation Format

Share Document