A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid
| Autor: | Ahmed Samy El-Agwany, Ahmed Mahmoud El-habashy, Ayat Samir Abdel Moneim, El-sayed El-badawy Awad, Alaa El-zarka |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Uterine fibroids medicine.medical_treatment lcsh:R895-920 Uterus Hydropic degeneration Pregnancy Laparotomy Ultrasound medicine Radiology Nuclear Medicine and imaging Cyst Uterine leiomyoma Ovarian cyst business.industry Myoma medicine.disease Aspiration medicine.anatomical_structure Radiology Nuclear Medicine and imaging Myometrial cyst Radiology business |
| Zdroj: | The Egyptian Journal of Radiology and Nuclear Medicine, Vol 46, Iss 2, Pp 529-534 (2015) |
| Popis: | Myometrial cysts of the uterus are extremely rare. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. Diffuse hydropic change is an unusual form that presents a considerable diagnostic challenge to both radiologists and pathologists. A 27-year old nulliparous patient admitted to our hospital for antenatal care and left sided pelvic pain. Transvaginal ultrasonographic examination revealed a 20cm intramural cystic lesion in the left region of the corpus uteri suspicious of degenerated myoma. Repeated aspiration was done. Spontaneous abortion occurred in the first trimester. Rapid distension of the abdomen despite repeated aspirations occurred. MRI revealed degenerated myoma. Ultrasound performed one day before surgery revealed a turbid content instead of the clear fluid. Laparotomy was performed revealing a huge interstitial myoma with bloody collection inside so, myomectomy was performed. Histopathology showed hydropic degenerated myoma. Although fibroids usually have a characteristic sonographic appearance, degenerating myomas have variable patterns and can pose a diagnostic dilemma. Extensive cystic degeneration can mimic an ovarian tumour. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|