Premium
DIFFUSE INTRA‐ABDOMINAL FIBROMATOSIS IN ASSOCIATION WITH BILATERAL OVARIAN FIBROMATOSIS AND OEDEMA
Author(s) -
Antoniuk Pamela,
Tjandra Joe J.,
Lavery Ian C.
Publication year - 1993
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1993.tb00391.x
Subject(s) - medicine , fibromatosis , hysterectomy , ovary , oophorectomy , bowel obstruction , tamoxifen , surgery , radiology , cancer , breast cancer
A case of bilateral ovarian enlargement secondary to massive ovarian oedema with underlying intra‐abdominal and pelvic fibromatosis is presented. Bilateral salpingo‐oophorectomy and hysterectomy led to rapid progression of the intra‐abdominal and pelvic fibromatosis, which was previously unsuspected. The case highlights the importance of recognizing massive oedema of the ovary as a distinct entity as it is a benign condition affecting young females and can be confused with ovarian neoplasm. In this case, the major morbidity was from the underlying diffuse intra‐abdominal fibromatosis. Conservative management with prolonged bowel rest, total parenteral nutrition, and intravenous steroid and Tamoxifen successfully led to complete resolution of bowel obstruction from diffuse fibromatosis.