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Unusual Case of a Torted Mesenteric Fibroid
1King Edward Memorial Hospital, Australia.
Case Reports in Obstetrics and Gynecology
|July 7, 2018
Summary
A rare case of a torted mesenteric fibroid, an extrauterine leiomyoma, caused acute abdominal pain. This benign tumor required surgical removal, highlighting diagnostic challenges in gynecology.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Extrauterine leiomyomas are rare gynecological tumors.
- They present diagnostic and clinical challenges due to atypical growth.
Observation:
- A 47-year-old woman presented with acute abdominal pain and a mass, initially suspected as ovarian torsion.
- Intraoperative findings revealed a large, necrotic mesenteric mass with bowel adhesions.
Findings:
- Laparotomy confirmed normal uterus, ovaries, and tubes.
- Histology identified a benign infarcted leiomyoma, leading to the diagnosis of a primary torted mesenteric fibroid.
Implications:
- This case underscores the importance of considering rare diagnoses like mesenteric fibroids in acute abdominal presentations.
- Accurate diagnosis and surgical management are crucial for these unusual gynecological conditions.
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