A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report

Uterine leiomyoma, also referred to as fibroid or myoma, is a prevalent benign tumor that can present with a range of clinical manifestations. The symptoms, which vary based on the tumor’s location, size, and number, include pain, constipation, urinary disturbances, and abnormal menstrual bleeding....

Full description

Saved in:
Bibliographic Details
Main Authors: Van Trung Hoang, The Huan Hoang, Hoang Anh Thi Van, Ngoc Trinh Thi Pham, Vichit Chansomphou, Thanh Tam Thi Nguyen, Cong Thao Trinh, Duc Thanh Hoang
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251315066
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589870596358144
author Van Trung Hoang
The Huan Hoang
Hoang Anh Thi Van
Ngoc Trinh Thi Pham
Vichit Chansomphou
Thanh Tam Thi Nguyen
Cong Thao Trinh
Duc Thanh Hoang
author_facet Van Trung Hoang
The Huan Hoang
Hoang Anh Thi Van
Ngoc Trinh Thi Pham
Vichit Chansomphou
Thanh Tam Thi Nguyen
Cong Thao Trinh
Duc Thanh Hoang
author_sort Van Trung Hoang
collection DOAJ
description Uterine leiomyoma, also referred to as fibroid or myoma, is a prevalent benign tumor that can present with a range of clinical manifestations. The symptoms, which vary based on the tumor’s location, size, and number, include pain, constipation, urinary disturbances, and abnormal menstrual bleeding. Certain types of uterine leiomyomas, such as pedunculated subserosal myomas or large degenerating cystic myomas, may closely mimic ovarian tumors, leading to significant diagnostic and management challenges. In this report, we present the case of a 47-year-old woman who experienced severe dyspnea and abdominal distension. Comprehensive radiological evaluation revealed a massive lesion, with both solid and cystic components, occupying the entire abdominopelvic cavity. Histological analysis confirmed the diagnosis of cellular leiomyoma. This case underscores the importance of considering degenerative cystic myoma in the differential diagnosis of large, cystic intra-abdominal tumors of unknown origin, to avoid misdiagnosis and ensure appropriate management.
format Article
id doaj-art-ca06e38e042f4808a471c3a17c294834
institution Kabale University
issn 2050-313X
language English
publishDate 2025-01-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medical Case Reports
spelling doaj-art-ca06e38e042f4808a471c3a17c2948342025-01-24T06:03:32ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-01-011310.1177/2050313X251315066A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case reportVan Trung Hoang0The Huan Hoang1Hoang Anh Thi Van2Ngoc Trinh Thi Pham3Vichit Chansomphou4Thanh Tam Thi Nguyen5Cong Thao Trinh6Duc Thanh Hoang7Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, VietnamDepartment of Radiology, Thien Hanh Hospital, Buon Ma Thuot, VietnamDepartment of Radiology, Thien Hanh Hospital, Buon Ma Thuot, VietnamSchool of Medicine and Pharmacy, The University of Danang, Da Nang, VietnamDepartment of Radiology, Savannakhet Medical-Diagnostic Center, Kaysone Phomvihane, LaosDepartment of Radiology, FV Hospital, Ho Chi Minh City, VietnamDepartment of Radiology, FV Hospital, Ho Chi Minh City, VietnamDivision of Endocrinology, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USAUterine leiomyoma, also referred to as fibroid or myoma, is a prevalent benign tumor that can present with a range of clinical manifestations. The symptoms, which vary based on the tumor’s location, size, and number, include pain, constipation, urinary disturbances, and abnormal menstrual bleeding. Certain types of uterine leiomyomas, such as pedunculated subserosal myomas or large degenerating cystic myomas, may closely mimic ovarian tumors, leading to significant diagnostic and management challenges. In this report, we present the case of a 47-year-old woman who experienced severe dyspnea and abdominal distension. Comprehensive radiological evaluation revealed a massive lesion, with both solid and cystic components, occupying the entire abdominopelvic cavity. Histological analysis confirmed the diagnosis of cellular leiomyoma. This case underscores the importance of considering degenerative cystic myoma in the differential diagnosis of large, cystic intra-abdominal tumors of unknown origin, to avoid misdiagnosis and ensure appropriate management.https://doi.org/10.1177/2050313X251315066
spellingShingle Van Trung Hoang
The Huan Hoang
Hoang Anh Thi Van
Ngoc Trinh Thi Pham
Vichit Chansomphou
Thanh Tam Thi Nguyen
Cong Thao Trinh
Duc Thanh Hoang
A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
SAGE Open Medical Case Reports
title A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
title_full A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
title_fullStr A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
title_full_unstemmed A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
title_short A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report
title_sort giant degenerative uterine leiomyoma mimicking an ovarian neoplasm case report
url https://doi.org/10.1177/2050313X251315066
work_keys_str_mv AT vantrunghoang agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT thehuanhoang agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT hoanganhthivan agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT ngoctrinhthipham agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT vichitchansomphou agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT thanhtamthinguyen agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT congthaotrinh agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT ducthanhhoang agiantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT vantrunghoang giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT thehuanhoang giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT hoanganhthivan giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT ngoctrinhthipham giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT vichitchansomphou giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT thanhtamthinguyen giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT congthaotrinh giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport
AT ducthanhhoang giantdegenerativeuterineleiomyomamimickinganovarianneoplasmcasereport