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A 28 year old female came to gynae OPD with complaints of lower abdominal pain and history of irregular mensus since 6-7 months.She is P2L2A1 with last child birth 3years back with normal vaginal delivery.
On PER ABDOMEN examination -A 14 weeks size mass felt which was mobile with regular margins and was hard in consistency.
On PER VAGINUM examination - findings were coinciding with per abdomen findings and mass was felt seperated from the uterus.
All investigations were done.
USG report was suggestive of A large heteroechoic solid mass lesion seen in the right iliac fossa region and right of pelvic cavity- suggestive of right adnexal mass(11*8cm).
Confirming with CECT Abdomen - A large well defined homogenously enchancing predominantly solid mass lesion in right adnexa not seperating from right ovary . these findings suggest solid right ovarian mass lesion.
CA125- 26.3U/ML
CEA-<0.5NG/ML
Rest all blood investigations were normal .
So decision of exploratory laparotomy was taken.
Operative findings - Huge , Solid mass of approx 14 weeks seen originating from right ovary which was addherent with right fallopian tube found twisted.
Right tubo-oophorectomy done.
HISTOPATHOLOGY REPORT -NORMAL OVARIAN TISSUE WITH AREAS SHOWING IRREGULAR BUNDLES OF INTERSECTING FASCICLE OF SPINDLE SHAPED CELLS NO ATYPIA OR PLEOMORPHISM SUGGESTIVE OF OVARIAN LEIOMYOMA.
