An unusual presentation of a pelvic textiloma mimicking a tumor
A 21-year-old female patient consulted because of increasing vague pelvic pain. In her past history, an appendectomy was performed 15 years earlier. Endovaginal ultrasound showed an enlarged uterus with a nodular contour confirming the multiple leiomyomas. In the right pelvis a heterogeneous hypo va...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2014-07-01
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| Series: | Journal of the Belgian Society of Radiology |
| Online Access: | https://www.jbsr.be/articles/104 |
| _version_ | 1819264408514199552 |
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| author | R Kadi V Massard K Vanden Houte C Gerard L Divano J Jani M Laureys E Najar M Cannie |
| author_facet | R Kadi V Massard K Vanden Houte C Gerard L Divano J Jani M Laureys E Najar M Cannie |
| author_sort | R Kadi |
| collection | DOAJ |
| description | A 21-year-old female patient consulted because of increasing vague pelvic pain. In her past history, an appendectomy was performed 15 years earlier. Endovaginal ultrasound showed an enlarged uterus with a nodular contour confirming the multiple leiomyomas. In the right pelvis a heterogeneous hypo vascular soft tissue mass was noted suspected to be an ovarian mass or a sub serous leiomyoma (Fig. A). At MR imaging, a right para-uterine mass was shown, sticking to the normal right ovary, excluding its ovarian origin. The mass had a hypointens signal on T1WI, heterogeneous hypo intense on T2WI and was delineated by a thick capsule showing enhancement after contrast injection (Fig. B, C). It had an extentrisic mass effect on the cervical region and pushed the right ovary in an anteroposteriorily way. A pediculated fibroma was excluded because of its characteristics. At MRI we were unable to differentiate between an old postoperative hematoma and abscess, a leiomyoma with a cystic degeneration or a pseudo cystic mass. Therefore the pelvic mass was removed by laparoscopy. The surgery revealed a nodular mass with a thick fibro sclerotic capsule and some calcifications. After opening of the nodule it was found a retained surgical sponge revealing the diagnosis of a textiloma (Fig. D). |
| first_indexed | 2024-12-23T20:29:01Z |
| format | Article |
| id | doaj.art-f65a0a057e8842169a8b9ddf7b0d9d75 |
| institution | Directory Open Access Journal |
| issn | 2514-8281 |
| language | English |
| last_indexed | 2024-12-23T20:29:01Z |
| publishDate | 2014-07-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Journal of the Belgian Society of Radiology |
| spelling | doaj.art-f65a0a057e8842169a8b9ddf7b0d9d752022-12-21T17:32:17ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812014-07-0197410.5334/jbr-btr.104104An unusual presentation of a pelvic textiloma mimicking a tumorR Kadi0V Massard1K Vanden Houte2C Gerard3L Divano4J Jani5M Laureys6E Najar7M Cannie8Department of Radiology, Brussels, BelgiumDepartment of Obstetrics and Gynecology, Brussels, BelgiumDepartment of Pathology of the University Hospital Brugmann, Brussels, BelgiumDepartment of Obstetrics and Gynecology, Brussels, BelgiumDepartment of Radiology, Brussels, BelgiumDepartment of Obstetrics and Gynecology, Brussels, BelgiumDepartment of Radiology, Brussels, BelgiumDepartment of Radiology, Brussels, BelgiumDepartment of Radiology, Brussels, BelgiumA 21-year-old female patient consulted because of increasing vague pelvic pain. In her past history, an appendectomy was performed 15 years earlier. Endovaginal ultrasound showed an enlarged uterus with a nodular contour confirming the multiple leiomyomas. In the right pelvis a heterogeneous hypo vascular soft tissue mass was noted suspected to be an ovarian mass or a sub serous leiomyoma (Fig. A). At MR imaging, a right para-uterine mass was shown, sticking to the normal right ovary, excluding its ovarian origin. The mass had a hypointens signal on T1WI, heterogeneous hypo intense on T2WI and was delineated by a thick capsule showing enhancement after contrast injection (Fig. B, C). It had an extentrisic mass effect on the cervical region and pushed the right ovary in an anteroposteriorily way. A pediculated fibroma was excluded because of its characteristics. At MRI we were unable to differentiate between an old postoperative hematoma and abscess, a leiomyoma with a cystic degeneration or a pseudo cystic mass. Therefore the pelvic mass was removed by laparoscopy. The surgery revealed a nodular mass with a thick fibro sclerotic capsule and some calcifications. After opening of the nodule it was found a retained surgical sponge revealing the diagnosis of a textiloma (Fig. D).https://www.jbsr.be/articles/104 |
| spellingShingle | R Kadi V Massard K Vanden Houte C Gerard L Divano J Jani M Laureys E Najar M Cannie An unusual presentation of a pelvic textiloma mimicking a tumor Journal of the Belgian Society of Radiology |
| title | An unusual presentation of a pelvic textiloma mimicking a tumor |
| title_full | An unusual presentation of a pelvic textiloma mimicking a tumor |
| title_fullStr | An unusual presentation of a pelvic textiloma mimicking a tumor |
| title_full_unstemmed | An unusual presentation of a pelvic textiloma mimicking a tumor |
| title_short | An unusual presentation of a pelvic textiloma mimicking a tumor |
| title_sort | unusual presentation of a pelvic textiloma mimicking a tumor |
| url | https://www.jbsr.be/articles/104 |
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