Unusual Case of a Torted Mesenteric Fibroid
Extrauterine leiomyomas are very rare and present a clinical and diagnostic challenge due to their unusual growth patterns and behaviours. A 47-year-old woman was transferred to our tertiary specialist obstetrics and gynaecology hospital with acute abdominal pain and a palpable abdominal mass. She w...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/8342127 |
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| author | Rawan Bajis Gregg Eloundou |
| author_facet | Rawan Bajis Gregg Eloundou |
| author_sort | Rawan Bajis |
| collection | DOAJ |
| description | Extrauterine leiomyomas are very rare and present a clinical and diagnostic challenge due to their unusual growth patterns and behaviours. A 47-year-old woman was transferred to our tertiary specialist obstetrics and gynaecology hospital with acute abdominal pain and a palpable abdominal mass. She was taken immediately to theatre with the presumptive diagnosis of an ovarian torsion. Intraoperatively, a large necrotic mass originating from the mesentery and attachments to the bowel at the ileocaecal junction was noted. When converted to laparotomy due to limited access and poor visualisation, the uterus, ovaries, and tubes were found to be normal. A right partial hemicolectomy was performed with the assistance of the colorectal surgeon due to suspicion of bowel malignancy. Histology revealed a benign infarcted leiomyoma with adhesions to the adjacent ileum. The diagnosis of a primary torted mesenteric fibroid was made. |
| format | Article |
| id | doaj-art-f967767cd692491c92e88b093120602b |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-f967767cd692491c92e88b093120602b2025-02-03T05:50:35ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/83421278342127Unusual Case of a Torted Mesenteric FibroidRawan Bajis0Gregg Eloundou1King Edward Memorial Hospital, AustraliaJoondalup Health Campus, AustraliaExtrauterine leiomyomas are very rare and present a clinical and diagnostic challenge due to their unusual growth patterns and behaviours. A 47-year-old woman was transferred to our tertiary specialist obstetrics and gynaecology hospital with acute abdominal pain and a palpable abdominal mass. She was taken immediately to theatre with the presumptive diagnosis of an ovarian torsion. Intraoperatively, a large necrotic mass originating from the mesentery and attachments to the bowel at the ileocaecal junction was noted. When converted to laparotomy due to limited access and poor visualisation, the uterus, ovaries, and tubes were found to be normal. A right partial hemicolectomy was performed with the assistance of the colorectal surgeon due to suspicion of bowel malignancy. Histology revealed a benign infarcted leiomyoma with adhesions to the adjacent ileum. The diagnosis of a primary torted mesenteric fibroid was made.http://dx.doi.org/10.1155/2018/8342127 |
| spellingShingle | Rawan Bajis Gregg Eloundou Unusual Case of a Torted Mesenteric Fibroid Case Reports in Obstetrics and Gynecology |
| title | Unusual Case of a Torted Mesenteric Fibroid |
| title_full | Unusual Case of a Torted Mesenteric Fibroid |
| title_fullStr | Unusual Case of a Torted Mesenteric Fibroid |
| title_full_unstemmed | Unusual Case of a Torted Mesenteric Fibroid |
| title_short | Unusual Case of a Torted Mesenteric Fibroid |
| title_sort | unusual case of a torted mesenteric fibroid |
| url | http://dx.doi.org/10.1155/2018/8342127 |
| work_keys_str_mv | AT rawanbajis unusualcaseofatortedmesentericfibroid AT greggeloundou unusualcaseofatortedmesentericfibroid |