Priyadharshinee Gayathri, Sahu Tapas K, Chavadi Channabasappa
Radiology, Manipal Hospitals, Bangalore, IND.
Radiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Cureus. 2023 Mar 7;15(3):e35883. doi: 10.7759/cureus.35883. eCollection 2023 Mar.
Uterine fibroids are the most common benign pelvic tumors in females of the reproductive age group. Usually, fibroids are confined to the uterus. Here, we report an interesting and rare case of a large 17 cm abdominopelvic mass lesion that led to a diagnostic dilemma between a mesenteric gastrointestinal stromal tumor (GIST) and a uterine fibroid. We had a 26-year-old female who underwent an ultrasound examination of the abdomen as the initial imaging modality and was found to have an abnormally large solid abdominopelvic mass lesion. For further evaluation, a contrast-enhanced CT examination of the abdomen-pelvis was done. Initially, on first look, the mass was thought to be of mesenteric origin, but on further review of images, it was found to be of gynecological origin. Intraoperatively, the solid mass was seen attached to the uterine fundus and underwent excision. Histopathological examination confirmed the mass to be a uterine fibroid. This case study describes the uncommon appearance of this tumor in a young woman, including the clinical presentation, imaging, and surgical findings.
子宫肌瘤是育龄期女性最常见的盆腔良性肿瘤。通常情况下，肌瘤局限于子宫。在此，我们报告一例有趣且罕见的病例，一名患者有一个17厘米大的腹盆腔肿块病变，这导致在肠系膜胃肠道间质瘤（GIST）和子宫肌瘤之间产生诊断难题。我们有一名26岁女性，最初以腹部超声检查作为影像学检查方式，发现有一个异常大的实性腹盆腔肿块病变。为进一步评估，进行了腹盆腔增强CT检查。最初，乍一看，肿块被认为起源于肠系膜，但在进一步查看图像时，发现其起源于妇科。术中可见实性肿块附着于子宫底部并进行了切除。组织病理学检查证实该肿块为子宫肌瘤。本病例研究描述了这种肿瘤在年轻女性中不常见的表现，包括临床表现、影像学表现和手术所见。
