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• W2980456096 abstract "Study Objective N/A Design Case Report Setting Cooper University Hospital, inpatient and outpatient clinic setting Patients or Participants The patient is a 31-year-old female who had right sided fundal pain in the third trimester of her second pregnancy. She had a history of a 6 cm left-sided pedunculated fibroid. Pain continued postpartum. Repeat ultrasound reported a large exophytic fibroid. The concern was torsion of the fibroid as the cause of the pain. During laparoscopic myomectomy, after excision of the fibroid, a separate anterior abdominal wall 10 cm mass emanating from the rectus sheath was discovered. After complete excision, the final pathology was fibromatosis. Interventions N/A Measurements and Main Results N/A Conclusion There have been a few cases reported on pregnancy-associated abdominal fibromatosis. There have been no reported cases of pregnancy-associated abdominal fibromatosis misdiagnosed as an exophytic uterine fibroid. In this case, a uterine myoma and an abdominal desmoid tumor occurred simultaneously, a setting so rare that all the doctors involved in the care of this patient were unaware that the abdominal mass was fibromatosis and not an exophytic fibroid. Fibroids diagnosed by ultrasound may in fact be different pathology and an incomplete diagnosis can occur in the setting of rare tumors. Current research suggests using cross-sectional imaging modalities such as MRI or CT scan when ultrasound may be equivocal, may have suspicious features, or if a potential rarer tumor is suspected. Identification of the mass prior to surgery may have offered different treatment options given that expectant management after biopsy confirmation is also acceptable as up to 14% of these tumors spontaneously regress. N/A Case Report Cooper University Hospital, inpatient and outpatient clinic setting The patient is a 31-year-old female who had right sided fundal pain in the third trimester of her second pregnancy. She had a history of a 6 cm left-sided pedunculated fibroid. Pain continued postpartum. Repeat ultrasound reported a large exophytic fibroid. The concern was torsion of the fibroid as the cause of the pain. During laparoscopic myomectomy, after excision of the fibroid, a separate anterior abdominal wall 10 cm mass emanating from the rectus sheath was discovered. After complete excision, the final pathology was fibromatosis. N/A N/A There have been a few cases reported on pregnancy-associated abdominal fibromatosis. There have been no reported cases of pregnancy-associated abdominal fibromatosis misdiagnosed as an exophytic uterine fibroid. In this case, a uterine myoma and an abdominal desmoid tumor occurred simultaneously, a setting so rare that all the doctors involved in the care of this patient were unaware that the abdominal mass was fibromatosis and not an exophytic fibroid. Fibroids diagnosed by ultrasound may in fact be different pathology and an incomplete diagnosis can occur in the setting of rare tumors. Current research suggests using cross-sectional imaging modalities such as MRI or CT scan when ultrasound may be equivocal, may have suspicious features, or if a potential rarer tumor is suspected. Identification of the mass prior to surgery may have offered different treatment options given that expectant management after biopsy confirmation is also acceptable as up to 14% of these tumors spontaneously regress." @default.
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• W2980456096 date "2019-11-01" @default.
• W2980456096 modified "2023-09-25" @default.
• W2980456096 title "2289 Supraumbilical Abdominal Fibromatosis Mimicking Exophytic Fibroids in Pregnancy" @default.
• W2980456096 doi "https://doi.org/10.1016/j.jmig.2019.09.195" @default.
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