Wang YW, Fan Q, Qian ZX, Wang JJ, Li YH, Wang YD. Abdominopelvic leiomyoma with large ascites: A case report and review of the literature. World J Clin Cases 2021; 9(6): 1424-1432 [PMID: 33644211 DOI: 10.12998/wjcc.v9.i6.1424]
Corresponding Author of This Article
Yu-Dong Wang, PhD, Professor, Department of Gynecological Oncology, International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University, No. 145 Lane, Guangyuan Road, Xuhui District, Shanghai 200000, China. wangyudong6688@126.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Yi-Wei Wang, Qiong Fan, Yu-Hong Li, Yu-Dong Wang, Department of Gynecological Oncology, International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University, Shanghai 200000, China
Zhao-Xia Qian, Department of Radiology, International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University, Shanghai 200000, China
Jin-Jin Wang, Department of Pathology, International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University, Shanghai 200000, China
Author contributions: Wang YW conceived the study, did literature search, and coordinated preparation of the manuscript for submission; Fan Q helped perform the analysis with constructive discussions; Fan Q, Qian ZX, and Wang JJ helped in literature search and in preparation of the manuscript; Li YH and Wang YD reviewed and edited the manuscript for final submission; all authors read and approved the manuscript.
Supported byShanghai Municipal Key Clinical Specialty, No. Shslczdzk06302.
Informed consent statement: Informed consent was obtained from the patient for publication of this manuscript and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Dong Wang, PhD, Professor, Department of Gynecological Oncology, International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University, No. 145 Lane, Guangyuan Road, Xuhui District, Shanghai 200000, China. wangyudong6688@126.com
Received: October 13, 2020 Peer-review started: October 13, 2020 First decision: November 24, 2020 Revised: December 8, 2020 Accepted: December 23, 2020 Article in press: December 23, 2020 Published online: February 26, 2021 Processing time: 115 Days and 20.3 Hours
Abstract
BACKGROUND
Leiomyoma of the uterus is relatively common, but uterine leiomyoma of the greater omentum is rare.
CASE SUMMARY
Here, we report the case of a 22-year-old woman who presented with a 3 mo history of progressive abdominal distension and a hypervascular abdominopelvic mass. Due to a high serum concentration of CA125, the preoperative diagnosis was unclear. During surgery, 5 L of ascites was removed. An 18.8 cm solid mass, which was pedunculated from the uterine fundus and exhibited complex adhesion to the greater omentum, was removed. The CA125 level was reduced postoperatively, and a pathologic study confirmed that the mass was a leiomyoma that originated in the uterus.
CONCLUSION
Uterine leiomyoma can share vessels with the greater omentum. This case highlights the difficulty of diagnosing pseudo-Meigs syndrome and the importance of imaging and laboratory examinations.
Core Tip: We report a case of uterine leiomyoma of the greater omentum with a high serum concentration of CA125 and pseudo-Meigs syndrome. It is rarely seen in this condition. Upon entering the abdomen, up to 5000 mL of yellow ascites was removed by suction. A large solid cystic neoplasm that measured almost 20 cm was found and diagnosed as leiomyoma pathologically later.
