Pedunculated uterine leiomyoma associated with pseudo-Meigs' syndrome and elevated CA-125 level: CT features.

摘要: A 38-year-old woman presented with a 1-week history of low back pain, distension, weakness, and loss appetite. Laboratory studies showed serum CA-125 level 281 U/ml (normal value 1.2–32 U/ml). Abdominopelvic sonography revealed massive ascites, left pleural effusion, heterogeneous, hypoechogenic, smoothly outlined solid mass. The mass had close proximity to the anterior side right ovary. Doppler that was hypervascularized. Computed tomography demonstrated numerous, tortuous vascular structures around along omentum indicating its auxiliary vascularization from omentum. Exploratory laparotomy histopathological examination pedunculated leiomyoma parasitized blood supply Ascites effusion disappeared 6 months after surgery. We present clinical CT features parasitic adhering