Document

Laparoscopic management of a torsioned round ligament fibroid.

Identifier
DOI 10.5001/omj.2018.81
Author
Contributors
Publisher
Oman Medical Specialty Board.
Gregorian
2018-09
Language
English
English abstract
Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that persisted for a few days. Her sonographic evaluation detected a well-defined hyperechoic 45 × 40 mm right adnexal mass interfering endometrioma. A contrast-enhanced pelvic MRI showed a 43 × 39 × 32 mm solid mass located in the right adnexa. Laparoscopic exploration revealed a well-defined double torsion around the peduncle pinky solid mass arising from the right round ligament. The mass was resected with the final histopathological diagnosis being leiomyoma. The diagnosis of round ligament fibroids can be challenging, and laparoscopy is one of the first options where surgical facilities are available.
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Citation
Kaya, Cihan, Alay, İsmail. Babayeva, Günay, Güraslan, Hakan, Ekin, Murat, & Yaşar, Levent (2018). Laparoscopic management of a torsioned round ligament fibroid. Oman Medical Journal, 33 (5), 441-443.
Category
Journal articles

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