Woman 50 yo amenorrhea 3 years ago, and hypogastric area distention like being of pregnancy for 6 months.
Ultrasound at the pelvis had a masss of 20 cm in diameter, cystic septation structure which cannot separate with cervis uterus by TVS ultrasound.
MRI of pelvis showed that mass was cystic septation with very thick border (see MRI images).
DIFFICULTY FOR DIAGNOSING THIS CASE AS THIS MASS WAS TOO BIG, ULTRASOUND WAS LIMITED OF ANGLE OF FIELD OF VIEW.
MRI CANNOT STUDY THE MOTION OF THIS MASS, STRUCTURE WAS LOOKED LIKE OVARIAN CYSTIC TUMOR, BUT MRI SHOWED THE BORDER VERY THICK.
OPEN OPERATION FOR REMOVING THE UTERUS AS A SAME MASS.
SECTION OF THIS MASS WAS UTERINE FIBROMA IN NECROSIS, AND MICROSCOPY CONFIRMED.
IT IS A HUGE UTERINE FIBROMA NECROSIS LOOKED LIKE OVARIAN CYST.
No comments:
Post a Comment