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Federación Mexicana de Ginecología y Obstetricia, A.C.

2009, Number 05

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Ginecol Obstet Mex 2009; 77 (05)

Oedematous ovarian fibroma with extensive cystic degeneration. A case report and literature review

Hernández MA, Ramírez SL, Estrada HMR, Pacheco PR, Aguilar ML

Language: Spanish
References: 10
Page: 244-249
PDF size: 356.39 Kb.


ABSTRACT

We have a patient with 34 years old. Who’s come to the gynecological emergency room, in the general hospital, Dr. Manuel Gea González, because she has colic abdominal pain with increasing intensity. The evolution was to develop acute abdominal pain. The location pain was in the inferior abdomen, predominantly in the left iliac foci, with nausea, no vomit and pondered lose, 4 kg in two months. This is associated with changes in the defecator pattern with tendencies to difficult evacuated. By other side she have irregular menstrual period. Rhythm 15 x 2 in the last two years. And we can touch a large tumoration 13 cm in diameter with regular borders, fixed to the uterus apparently, but no to profounder planes. The tumor is lateralized to the right and she has pain with mobilization, low transvaginal hemorrhage, no fetid and finally the patient develop an acute abdominal pain.


REFERENCES

  1. Takeshita T, Shima H, Oishi S, Machida N, et al. Ovarian fibroma (fibrothecoma) with extensive cystic degeneration: unusual MR imaging findings in two cases. Radiat Med 2005;23(1):70-74.

  2. De Souza MFLR, Caetano S, Faintuch S, Goldman SM, et al. Bilateral ovarian fibroma with extensive calcification. Journal of Women’s Imaging. 2005;7(3):122-5.

  3. Lurie S. Síndrome de Meigs: historia del epónimo. European Journal of Obstetrics and Gynecology and Reproductive Biology (edición española) 2001;1:115-20.

  4. Rouzier R, Berger A, Cugnenc PH. Cas clinique, syndrome de Demons-Meigs: peut-on faire le diagnostic en pré-opératoire? [Meigs' syndrome: is it possible to make a preoperative diagnosis?]. J Gynecol Obstet Biol Reprod (Paris) 1998;27:517-22.

  5. Cissé CT, Ngom PM, Sangare M, Ndong M, Moreau JC. Fibrome de l'ovaire associé à un syndrome de Demons-Meigs et à une élévation du CA 125. [Ovarian fibroma associated with Demons-Meigs syndrome and elevated CA 125]. J Gynecol Obstet Biol Reprod (Paris) 2004;33:251-4.

  6. Seracchioli R, Bagnoli A, Colombo FM,; Missiroli S, Venturoli S. Case report. Conservative treatment of recurrent ovarian fibromas in a young patient affected by Gorlin syndrome. Human Reproduction 2001;16(6):1261-3.

  7. Hussain SF, Camilleri P. Elevation of tumour marker CA-125 in serum and body fluids: interpret with caution. Indian J Med Res 2007;125(1):10-2.

  8. Troiano RN, Lazzarini KM, Scoutt LM, Lange RC, et al. Fibroma and fibrothecoma of the ovary: MR Imaging Findings. Radiology 1997;204(3):795-8.

  9. Segal S, Feld R, Kurtz AB. Ultrasound case of the day. Ovarian fibroma. Radiographics 1989;9(5):959-63.

  10. McBee WC Jr, Escobar PF, Falcone T. Which ovarian masses need intervention? Cleve Clin J Med 2007;74(2):149-57.




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