PMC5075483_01
Ultrsonographic picture showing intrauterine fetus (short arrow) with large mass (long arrow) in relation to fundus
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Ultrasonography showed an intrauterine viable fetus of 14 weeks 2 days Gestation with a large well defined hypoechoic abdominopelvic mass measuring 16x10 cm with minimum vascularity seen which was extending from right adenexa to right side of abdominal cavity up to right hypochondrium (Figure 1).
Ultrsonographic picture showing bridging vessel (white arrow) between the mass lesion and gravid uterus
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A bridging vessel was seen extending from fundus of uterus to the mass lesion so 1st possibility of degenerated pedunculated fibroid was kept however right ovary was not seen separately from the mass lesion so the possibility of ovarian mass was also not ruled out (Figure 2).
Intraoperative picture showing gravid uterus (short arrow) with large subserous pedunculatedmyoma (long arrow)
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The large 4.5 kg fibroid with its pedicle site (arrow)
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Figure 4).