Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma
Uterine leiomyomas are common benign neoplasms. While generally easily diagnosed, variations in size and type of degeneration can drastically alter the imaging findings and result in diagnostic uncertainty. We present the case of a 34-year-old female with a large, cystic, pelvi-abdominal mass that w...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2019-04-01
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| Series: | South African Journal of Radiology |
| Subjects: | |
| Online Access: | https://sajr.org.za/index.php/sajr/article/view/1683 |
| _version_ | 1819023219181486080 |
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| author | Natasha Sobey Lauren Raubenheimer |
| author_facet | Natasha Sobey Lauren Raubenheimer |
| author_sort | Natasha Sobey |
| collection | DOAJ |
| description | Uterine leiomyomas are common benign neoplasms. While generally easily diagnosed, variations in size and type of degeneration can drastically alter the imaging findings and result in diagnostic uncertainty. We present the case of a 34-year-old female with a large, cystic, pelvi-abdominal mass that was discovered in advanced pregnancy and misdiagnosed as an ovarian tumour. Intra-uterine demise of a viable foetus during an induction of labour and clinical deterioration necessitated further imaging and emergent surgical intervention. Further imaging, intra-operative findings and histopathological correlation revealed a pedunculated uterine leiomyoma with hyaline degeneration and areas of necrosis, complicated by left ovarian vein thrombosis. In addition to the intra-uterine demise, the unfortunate outcome included a total abdominal hysterectomy and unilateral salpingo-oophorectomy in a young patient. Typical leiomyomas are easily detected with imaging, however the varied clinical presentation and imaging findings in degenerating leiomyomas can prove a diagnostic challenge. This case describes a rare manifestation of a common condition and its subsequent diagnostic dilemma resulting in dire foeto-maternal outcomes. |
| first_indexed | 2024-12-21T04:35:25Z |
| format | Article |
| id | doaj.art-c64802493f224cf4a4fb39c1033fc89f |
| institution | Directory Open Access Journal |
| issn | 1027-202X 2078-6778 |
| language | English |
| last_indexed | 2024-12-21T04:35:25Z |
| publishDate | 2019-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Radiology |
| spelling | doaj.art-c64802493f224cf4a4fb39c1033fc89f2022-12-21T19:15:51ZengAOSISSouth African Journal of Radiology1027-202X2078-67782019-04-01231e1e510.4102/sajr.v23i1.16831053Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyomaNatasha Sobey0Lauren Raubenheimer1Department of Radiology, Inkosi Albert Luthuli Hospital, Durban, Kwa-Zulu NatalDepartment of Radiology, Groote Schuur Hospital, University of Cape Town Medical School, Cape TownUterine leiomyomas are common benign neoplasms. While generally easily diagnosed, variations in size and type of degeneration can drastically alter the imaging findings and result in diagnostic uncertainty. We present the case of a 34-year-old female with a large, cystic, pelvi-abdominal mass that was discovered in advanced pregnancy and misdiagnosed as an ovarian tumour. Intra-uterine demise of a viable foetus during an induction of labour and clinical deterioration necessitated further imaging and emergent surgical intervention. Further imaging, intra-operative findings and histopathological correlation revealed a pedunculated uterine leiomyoma with hyaline degeneration and areas of necrosis, complicated by left ovarian vein thrombosis. In addition to the intra-uterine demise, the unfortunate outcome included a total abdominal hysterectomy and unilateral salpingo-oophorectomy in a young patient. Typical leiomyomas are easily detected with imaging, however the varied clinical presentation and imaging findings in degenerating leiomyomas can prove a diagnostic challenge. This case describes a rare manifestation of a common condition and its subsequent diagnostic dilemma resulting in dire foeto-maternal outcomes.https://sajr.org.za/index.php/sajr/article/view/1683LeiomyomaHypercalcaemiaOvarian Vein ThrombosisPregnancyIntra-Uterine Foetal Demise. |
| spellingShingle | Natasha Sobey Lauren Raubenheimer Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma South African Journal of Radiology Leiomyoma Hypercalcaemia Ovarian Vein Thrombosis Pregnancy Intra-Uterine Foetal Demise. |
| title | Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma |
| title_full | Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma |
| title_fullStr | Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma |
| title_full_unstemmed | Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma |
| title_short | Cystic pelvi-abdominal mass in pregnancy: An uncommon presentation of a subserosal leiomyoma |
| title_sort | cystic pelvi abdominal mass in pregnancy an uncommon presentation of a subserosal leiomyoma |
| topic | Leiomyoma Hypercalcaemia Ovarian Vein Thrombosis Pregnancy Intra-Uterine Foetal Demise. |
| url | https://sajr.org.za/index.php/sajr/article/view/1683 |
| work_keys_str_mv | AT natashasobey cysticpelviabdominalmassinpregnancyanuncommonpresentationofasubserosalleiomyoma AT laurenraubenheimer cysticpelviabdominalmassinpregnancyanuncommonpresentationofasubserosalleiomyoma |