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- W4310588923 abstract "CASE REPORT A 56-year-old woman presented with right lower-quadrant pain for 5 months. The pain was intermittent and pressure like and not associated with any other symptoms. Abdominal examination and laboratory test results were normal. Colonoscopy revealed a 13-mm firm subepithelial nodule in the cecum (Figure 1). The lesion was biopsied, but the histology was nondiagnostic, showing benign colonic mucosa and a lymphoid aggregate. Computed tomography of the abdomen and pelvis was performed to further characterize the lesion and showed mild wall thickening in the right colon. A diagnostic laparoscopy was pursued and revealed a fibroid that appeared to be compressing the cecal wall. To ensure that this was the lesion identified during initial colonoscopy, intraoperative colonoscopy was performed. This confirmed that the lesion compressing the cecal wall was a fibroid as the uterus was adjacent to the cecum (Figure 2). Pulling the colon wall away from the fibroid resulted in disappearance of the nodule endoscopically. Patient's abdominal pain resolved after the laparoscopy with no intervention. At follow-up with the gynecology team 2 months later, no further intervention was recommended. The differential diagnosis for a subepithelial nodule in the cecum is broad and can include malignancy in up to 15% of cases.1 Pursuing additional diagnostic workup to confirm a diagnosis is important.2 This case demonstrates that gynecological causes should be considered in the differential diagnosis of a colonic subepithelial nodule.Figure 1.: Colonoscopy showed a 13-mm subepithelial nodule in the cecum.Figure 2.: Intraoperative laparoscopy with colonoscopy showed the uterine fibroid compressing the cecal wall.DISCLOSURES Author contributions: B. Songtanin wrote the manuscript and is the article guarantor. R. Baucom performed the surgery. V. Costilla reviewed the manuscript. Financial disclosure: None to report. Informed consent was obtained for this case report." @default.
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- W4310588923 date "2022-11-01" @default.
- W4310588923 modified "2023-10-18" @default.
- W4310588923 title "Sometimes, the Fibroid Is to Blame" @default.
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- W4310588923 doi "https://doi.org/10.14309/crj.0000000000000920" @default.
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