Laparoscopic Management of a Torsioned Round Ligament Fibroid

Autor: Cihan Kaya, İsmail Alay, Günay Babayeva, Hakan Güraslan, Murat Ekin, Levent Yaşar
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Oman Medical Journal, Vol 33, Iss 5, Pp 441-443 (2018)
Druh dokumentu: article
ISSN: 1999-768X
2070-5204
DOI: 10.5001/omj.2018.81
Popis: Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that persisted for a few days. Her sonographic evaluation detected a well-defined hyperechoic 45 × 40 mm right adnexal mass interfering endometrioma. A contrast-enhanced pelvic MRI showed a 43 × 39 × 32 mm solid mass located in the right adnexa. Laparoscopic exploration revealed a well-defined double torsion around the peduncle pinky solid mass arising from the right round ligament. The mass was resected with the final histopathological diagnosis being leiomyoma. The diagnosis of round ligament fibroids can be challenging, and laparoscopy is one of the first options where surgical facilities are available.
Databáze: Directory of Open Access Journals