Document Detail


Retroperitoneal leiomyoma: a case report.
MedLine Citation:
PMID:  22195337     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Retroperitoneal leiomyomata are rare neoplasms. These masses can be asymptomatic or can cause pelvic discomfort, urinary frequency, abdominal fullness or back pain.
CASE: A 28-year-old, nulliparous female presented with worsening dysmenorrhea and bulk symptoms from fibroids. MRI revealed an exophytic anterior lower uterine segment fibroid with internal degeneration. During surgery the fibroid was discovered to be retroperitoneal in location, contrary to preoperative imaging findings. Pathology confirmed a benign leiomyoma.
CONCLUSION: The treatment for these masses is complete excision. The retroperitoneal location of this fibroid was not evident on preoperative ultrasound and MRI. Imaging can be used only as a guide for operative planning and does not always represent the anatomy accurately. Surgical excision is required, and only at surgery will the exact anatomical location of the fibroid be ascertained.
Authors:
Catherine A Sewell; Melissa L Russo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  56     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-12-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  515-7     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21204, USA. cswell3@jhmi.edu
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