Pseudo- Broad Ligament Angiolipoleiomyoma Mimicking Ovarian Torsion - A Rare Case Report
Journal Title: Indian Obstetrics & Gynaecology - Year 2017, Vol 7, Issue 4
Abstract
We report a rare case of pseudo-broad ligament angiolipoleiomyoma mimicking torsion of ovarian tumour as per clinical and radiological findings. A 28-years-old female P2L2 presented in emergency department with complaints of lower abdominal pain and spoting since two days. She had history of amenorrhoea since four months. Abdominal examination revealed a 14 weeks pelvic mass, so to firm in consistency, tender and with restricted mobility. On per vaginum examination, uterus was normal in size and deviated to the right side. A cystic, tender, smooth mass of variegated consistency of size 10x 10cm was felt through leti fornix deviating the uterus to the other side .On ultrasonography (USG), left sided echogenic mass with multiple cysts of size 14 x10 cm, with peripheral vascularity was detected. A provisional diagnosis of ovarian mass with torsion was made and patient was taken up for emergency laparotomy. Intraoperatively an exophytic mass approx. 9x9 cm in size was seen arising from left wall of uterus. The mass was enucleated and removed. Cut section showed presence of fat lobules with areas of haemorrhage in the mass. On histopathological examination, a diagnosis of angiolipoleiomyoma of uterus was made. We report this case because of its rarity and diagnostic difficulty.
Authors and Affiliations
Kanika Chopra, Dr. Shalini Shakarwal, Dr. Swati Agrawal, Dr. Chitra Raghunandan
Keywords
Related Articles
- EP ID EP457859
- DOI -
- Views 110
- Downloads 0
Twin Pregnancy with Complete Hydatidiform Mole and Coexisting Live Foetus - Case Report
Hydatidiform mole with a coexisting live twin is an extremely rare event. It poses a great challenge for the obstetrician to decide for or against the continuation of such a pregnancy. Although successful outcomes in the...
Study of Incidence, Causes and Outcome of Management of Primary Amenorrhoea
Objectives: To determine the incidence, to enlist aetiological factors and outcomes of medical and surgical management of primary amenorrhoea. Materials and Methods: This study was carried out over a period of 19 months...
TWISTED PARAOVARIAN CYST – A RARE CAUSE OF ACUTE ABDOMINAL PAIN
Torsion of uterine adnexa is an important cause of acute abdominal pain. Torsion of ovarian masses is quite common. However, torsion of paraovarian cyst is very rare. Torsion of fallopian tube and paraovarian cyst are us...
Reproductive Hormones in Pathophysiology of Fibromyalgia Syndrome
Fibromyalgia syndrome (FMS) is a chronic, non-inflammatory pain syndrome characterized by diffuse myalgia and tenderness. Fibromyalgia is typically associated with sleep disturbance, fatigue, anxiety, depression, and mor...
IMPORTANCE OF DEVELOPING A NEW MODIFIED HIGH RISK PREGNANCY SCORING SYSTEM
Objective: The present study is an attempt to propose a new modified high risk pregnancy scoring system incorporating both maternal and foetal risk factors by assigning a numerical score to each woman and to assess the e...