Wandering Fibroid: An Unusual Complication Arising from an Unusual Location

oleh: Nilu Malpani Dhoot, Gobindo Pramanick, Manash Saha, J Kishor Gupta, Milan Chetry, Chandrashish Chakraborty, Nipanjan Ghosh, Arpita Sutradhar

Format: Article
Diterbitkan: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-12-01

Deskripsi

Wandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an apparently unrelated solid mass adherent to the anterior abdominal wall. Guided biopsy resulted in the unusual complication of an inferior epigastric artery branch injury for which embolization was done. Post embolization, the size of the mass reduced. Iatrogenic inferior epigastric artery injury is rare and can result in a large rectus sheath hematoma. Active bleeding is life threatening and warrants immediate intervention.