Diffuse intra-abdominal fibromatosis in association with bilateral ovarian fibromatosis and oedema.
A case of bilateral ovarian enlargement secondary to massive ovarian oedema with underlying intra-abdominal and pelvic fibromatosis is presented. Bilateral salpingo-oophorectomy and hysterectomy led to rapid progression of the intra-abdominal and pelvic fibromatosis, which was previously unsuspected. The case highlights the importance of recognizing massive oedema of the ovary as a distinct entity as it is a benign condition affecting young females and can be confused with ovarian neoplasm. In this case, the major morbidity was from the underlying diffuse intra-abdominal fibromatosis. Conservative management with prolonged bowel rest, total parenteral nutrition, and intravenous steroid and Tamoxifen successfully led to complete resolution of bowel obstruction from diffuse fibromatosis.
Antoniuk
P
P
Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio 44195.
Tjandra
J J
JJ
Lavery
I C
IC
D000328:Adult; D001466:Barium Sulfate; D003131:Combined Modality Therapy; D004487:Edema / Q000209:etiology*; D004733:Enema; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D018221:Fibromatosis, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007044:Hysterectomy; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D010049:Ovarian Diseases / Q000209:etiology*; D010051:Ovarian Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy; D010289:Parenteral Nutrition, Total; D011859:Radiography; D012086:Reoperation; D013629:Tamoxifen / Q000627:therapeutic use
D013629:Tamoxifen; D001466:Barium Sulfate; D006854:Hydrocortisone