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- Title
GIANT RIGHT OVARIAN FIBROID WITH COMPRESSIVE PHENOMENA, ASSOCIATED WITH UTERINE LEIOMYOMA, IN A PATIENT WITH RECURRENT BASAL CELL CARCINOMA OF THE FACE, OPERATED ON.
- Authors
Tudor, Mihnea-Adrian; Mazzolini, Livio Vlad-Remo; Tripon, Ioana; Tuncer, Mohammed Ali; Tudor, Adrian
- Abstract
Introduction: The ovarian fibroma is the most common benign stromal ovarian tumor. It is associated with ascites in 40% of cases and, in a small percentage, with hydrothorax. The symptoms mimic a neoplastic condition, with imaging examinations being very useful in diagnosis. Case Report: In this paper, we present the case of a 66-year-old patient who was admitted by appointment on October 25, 2023, with a diagnosis of an abdominal tumor, likely of right adnexal origin. The patient reports the onset of lower abdominal pain approximately 4 months ago, associated with abdominal bloating. The symptoms worsened, with the patient noticing a progressive increase in the size of her abdomen. From the patient's medical history, we note: hydrostatic varices of the lower limbs, essential hypertension, NYHA II congestive heart failure, obesity, hepatic steatosis, gallbladder lithiasis, basal cell carcinoma of the face excised in 2020, recurrent and reoperated on October 11, 2023. The physical examination reveals a distended abdomen, with palpation revealing an indistinctly delimited tumor formation, approximately 40x30 cm in size, firm, slightly sensitive, occupying almost the entire abdominal area. Computed tomography reveals a space-occupying process, relatively well-defined, originating from the right adnexa, with a mixed component (tissue and fluid), measuring 18.2/29/22.6 cm (AP/LL/CC). The described formation is located in the mesogastrium, hypogastrium, flanks, and pelvic area, causing a mass effect on the intestinal loops, ascending colon, and sigmoid colon. Significant abdominal-pelvic fluid accumulation is noted, along with a 3.6 cm umbilical hernia, marked infiltration of subcutaneous tissue. On October 26, 2023, surgical intervention was performed, including total hysterectomy with bilateral salpingo-oophorectomy, greater omentum resection, cholecystectomy, omphalectomy, Douglas and subhepatic drainage, abdominal wall repair, and skin closure, for the intraoperative diagnosis of right adnexal tumor adherent to the small intestine loops and greater omentum, ascites, chronic calculous cholecystitis, adhesive syndrome. The postoperative course was favorable, and the patient was discharged on the 7th postoperative day. Histopathological examination revealed right ovarian fibroma, uterine leiomyoma without atypia, and chronic cholecystitis. Discussions : The association of ovarian fibroma, ascites, and hydrothorax is termed Demons-Meigs syndrome. The association of ovarian fibroma solely with hydrothorax or solely with ascites is called pseudo-Meigs syndrome. Ovarian fibroma accounts for 2-5% of surgically removed ovarian tumors. The preferred treatment is surgical intervention. Conclusions: The surgical treatment of the patient, who underwent surgery for basal cell carcinoma of the face 15 days ago, resulted in the resolution of
- Subjects
ROMANIA; UTERINE tumors; CANCER relapse; ASCITES; OVARIAN tumors; CONFERENCES &; conventions; UTERINE fibroids; BASAL cell carcinoma
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p178
- ISSN
2668-7755
- Publication type
Article