Contrast-enhanced computed tomography (CE-CT) of the abdomen was performed in a 43-year-old
woman presenting with abdominal distention with no remarkable medical history. CE-CT
revealed a well-defined lobulated lesion extending from the pelvis to the top of the
diaphragm, with diameters of 24.0 cm × 14.0 cm × 27.4 cm and inhomogeneous mild enhancement.
The bowel was pushed to the side, and the uterus below was indistinguishable from
the mass. Moreover, the lesion was supplied by the left common iliac artery (Fig. A–D). We initially speculated that this lesion originated from the uterus or retroperitoneal
neoplastic lesions. Abdominal hysterectomy and bilateral salpingo-oophorectomy were
subsequently performed, revealing that the mass was indistinct from the uterus and
adherent to the left ovary. Postoperative histopathological analysis confirmed a uterine
leiomyoma (Fig. E). After surgery, the patient received routine anti-inflammatory medication administered
via analgesic intravenous infusion. The patient was in good health at the 3-month
follow-up.
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References
- Pharma-cological treatment of uterine fibroids.Ann Med Health Sci Res. 2014; 4: S185-S192
- The bridging vascular sign.Radiology. 2006; 238: 371-372
Article info
Publication history
Published online: February 03, 2023
Accepted:
January 27,
2023
Received:
October 15,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Ethical approval and consent to participate
The present study was approved by the Ethics Committee of Affiliated Hospital of Southwest Medical University.
Identification
Copyright
© 2023 Published by Elsevier Inc. on behalf of Southern Society for Clinical Investigation.
