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Case Report
large parasitic leiomyoma mistaken for an ovarian mass: A case report
1 Edward Via College of Osteopathic Medicine, Auburn, AL, USA
2 Department of Obstetrics and Gynecology, East Alabama Health, Opelika, AL, USA
Address correspondence to:
Jessica Gocinski
136 Northern Flicker Drive, Auburn, AL 36832,
USA
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Article ID: 100141Z08JG2023
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How to cite this article
Gocinski J, Hensarling KF. A large parasitic leiomyoma mistaken for an ovarian mass: A case report. J Case Rep Images Obstet Gynecol 2023;9(1):31–35.ABSTRACT
Introduction: Uterine leiomyomas, commonly known as fibroids, are benign tumors composed of uterine myometrial tissue which are the most prevalent pelvic masses during female reproductive age. Abnormal uterine bleeding is the most common symptom. When a fibroid undergoes separation from the uterus and grows extensively it can cause difficulty in making an accurate diagnosis and limit potential treatment options.
Case Report: This case report discusses a large pelvic mass found in a 40-year-old female. Because of the size of the mass and inadequate diagnostic imaging, a proper diagnosis was difficult to establish, so the patient underwent surgical management. A total abdominal hysterectomy with bilateral salpingectomy and right oophorectomy was performed with additional unexpected intraoperative findings.
Conclusion: Parasitic leiomyomas can cause atypical patient presentations. They can grow to occupy a great amount of space in the abdominopelvic cavity which can create obstacles during diagnostic workup. This report demonstrates how a relatively rare type of fibroid can be easily misdiagnosed and lead to limited treatment options.
Keywords: Case report, Fibroids, Parasitic leiomyoma, Pelvic mass
SUPPORTING INFORMATION
Acknowledgments
We would like to acknowledge and thank the patient who graciously allowed us to share her story in this article so that it may inform future gynecologic care.
Author ContributionsJessica Gocinski - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kerri Forrester Hensarling - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Jessica Gocinski et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
