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Case Reports
. 2018 Jun 7:2018:8342127.
doi: 10.1155/2018/8342127. eCollection 2018.

Unusual Case of a Torted Mesenteric Fibroid

Rawan Bajis  1 , Gregg Eloundou  2
Affiliations
Case Reports

Unusual Case of a Torted Mesenteric Fibroid

Rawan Bajis et al. Case Rep Obstet Gynecol. .

Abstract

Extrauterine leiomyomas are very rare and present a clinical and diagnostic challenge due to their unusual growth patterns and behaviours. A 47-year-old woman was transferred to our tertiary specialist obstetrics and gynaecology hospital with acute abdominal pain and a palpable abdominal mass. She was taken immediately to theatre with the presumptive diagnosis of an ovarian torsion. Intraoperatively, a large necrotic mass originating from the mesentery and attachments to the bowel at the ileocaecal junction was noted. When converted to laparotomy due to limited access and poor visualisation, the uterus, ovaries, and tubes were found to be normal. A right partial hemicolectomy was performed with the assistance of the colorectal surgeon due to suspicion of bowel malignancy. Histology revealed a benign infarcted leiomyoma with adhesions to the adjacent ileum. The diagnosis of a primary torted mesenteric fibroid was made.

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Figures

Figure 1
Figure 1
Laparoscopic view of fibroid (right) and its attachment to the bowel (left). Area of torsion noted in between.
Figure 2
Figure 2
Laparoscopic view of infarcted fibroid.
See this image and copyright information in PMC

References

    1. Mahmoud M. S., Desai K., Nezhat F. R. Leiomyomas beyond the uterus; benign metastasizing leiomyomatosis with paraaortic metastasizing endometriosis and intravenous leiomyomatosis: a case series and review of the literature. Archives of Gynecology and Obstetrics. 2015;291(1):223–230. doi: 10.1007/s00404-014-3356-8. - DOI - PubMed
    1. Bulun S. E. Uterine fibroids. The New England Journal of Medicine. 2013;369(14):1344–1355. doi: 10.1056/nejmra1209993. - DOI - PubMed
    1. Cramer S. F., Patel A. The frequency of uterine leiomyomas. American Journal of Clinical Pathology. 1990;94(4):435–438. doi: 10.1093/ajcp/94.4.435. - DOI - PubMed
    1. Catherino W. H., Parrott E., Segars J. Proceedings from the National Institute of Child Health and Human Development Conference on the Uterine Fibroid Research Update Workshop. Fertility and Sterility. 2011;95(1):9–12. doi: 10.1016/j.fertnstert.2010.08.049. - DOI - PMC - PubMed
    1. Zimmermann A., Bernuit D., Gerlinger C., Schaefers M., Geppert K. Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 women. BMC Women's Health. 2012;12(1, article 6):11. doi: 10.1186/1472-6874-12-6. - DOI - PMC - PubMed

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