OVARIAN CYST MASQUERADING AS CERVICAL STUMP LEIOMYOMA IN A WOMAN AFTER SUBTOTAL HYSTERECTOMY: AN UNUSUAL PRESENTATION.

Abstract

Introduction: Pelvic masses that seem to be ovarian masses on imaging are many times, actually broids, which can be subserosal, or true/ false broad ligament broids. Many cases of broids mimicking ovarian masses/ malignancy have been reported, but rarely any case can be found where an ovarian mass, especially a hemorrhagic cyst mimicked a broid. We present a case of a woman who, was post subtotal hysterectomy, presented with a midline homogenous mass suggesting a cervical stump broid but on operation table was diagnosed to be an ovarian mass. 47years old P2L2 woman presented with insidious dull aching lower abdominal p Case report: ain and an ultrasound report showing a midline 10 x 10cm pelvic mass. She had undergone a subtotal abdominal hysterectomy 15 years ago for symptomatic uterine broid. Examination and higher imaging suggested a cervical stump broid. On laparotomy, it was a well-circumscribed oval mass with a smooth surface, stuck in the pouch of Douglas originating from the right infundibulopelvic ligament with torsion (one twist). It was a thick-walled cyst with dried spongy hemorrhagic content. Histopathology conrmed the diagnosis of hemorrhagic cyst. A mass that is likely broid on imag Conclusion: ing preoperatively rarely turns out to be an ovarian mass during surgery. A hemorrhagic ovarian cyst can present in a subacute form mimicking a solid neoplasm or a solid broid.