Large, extra-abdominal leiomyoma of the round ligament with carneous degeneration.

Autor:	Klingbeil KD; Department of Surgical Oncology, Miller School of Medicine, University of Miami, Miami, Florida, USA., Polcari AM; Department of Surgical Oncology, Miller School of Medicine, University of Miami, Miami, Florida, USA., Azab B; Department of Surgical Oncology, Miller School of Medicine, University of Miami, Miami, Florida, USA., Franceschi D; Department of Surgical Oncology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2017 Nov 23; Vol. 2017. Date of Electronic Publication: 2017 Nov 23.
DOI:	10.1136/bcr-2017-222454
Abstrakt:	Round ligament tumours represent a rare entity that can present similarly to an incarcerated hernia. Basic understanding and appropriate preoperative management is imperative in order to differentiate between the two diagnoses. Leiomyoma is the most common type of round ligament tumour. It is associated with oestrogen exposure and is more common in the presence of uterine leiomyomas. Here we discuss a 68-year-old woman who presented with a palpable left inguinal mass that progressively grew in size, associated with pelvic pressure and discomfort. On surgical resection, the mass was found to be derived from the round ligament at the entrance of the external inguinal ring. Pathology confirmed a round ligament leiomyoma, measuring 25×9×8.5 cm. This case is the largest round ligament leiomyoma recorded to date and the first to exhibit carneous degeneration. A review of the current literature is also provided. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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