A unique pathology associated with pelvic pain and adnexal mass
Courtney Lim1, Jennifer Hirshfeld-Cytron, Caitlin McCarthy
1Northwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology, Chicago, Illinois 60611, USA.
Objective:
To present a unique case of pelvic pain.
Design:
Case report.
Setting:
Academic institution.
Patient(S):
Thirty-nine year-old with history of endometriosis presented with pelvic pain and possible adnexal mass.
Intervention(S):
Imaging results were not consistent and suggested possible adnexal mass and hydrosalpinx in different studies. Physical exam was concerning for a vaginal mass that was felt not to be contiguous with the adnexa. At laparoscopy, a 3 cm pararectal mass was identified immediately lateral to the uterosacral ligament and medial to the ureter. This mass was completely resected laparoscopically.
Main Outcome Measure(S):
Resolution of pelvic pain.
Result(S):
Pathologic diagnosis was ganglioneuroma. Postoperatively, the patient had resolution of her pelvic pain.
Conclusion(S):
Pelvic ganglioneuromas are a very rare entity but emphasize the importance of a broad differential for pelvic pain.
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