PMC3119586_01
A transabdominal ultrasound scan showing the mass (red arrow) and the uterus (black arrow), bladder (blue arrow).
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The initial transabdominal scan (Figure 1) suggested a large subserosal leiomyoma.
Pelvi-abdominal MRI showing a large, well-defined, oval mass measuring 12 x 8 cm in dimensions overlapping the right side of the pelvic cavity (red arrow). The mass appears to be connected to the uterus (blue arrow). A subserosal leiomyoma is suggested. However, a desmoid tumor needs to be excluded.
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The MRI imaging report also suggested a subserosal tumor as the first diagnosis (Figure 2).
A) A picture showing the tumor in the inner aspect of the abdominal wall. B) The picture shows the margin of the sharp dissection. C) The tumor has been completely removed with a safe margin. D) The whole tumor after removal.
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A large mass attached firmly to the inner aspect of the abdominal wall was found intraoperatively (Figures 3 A and 3B). Surgeons took over and the mass was removed by wide excision with a safe margin (Figures 3C and 3D).