000K utf8 1100 $c2021 1500 eng 2050 urn:nbn:de:gbv:8:3-2022-00300-8 2051 10.1186/s13256-021-02959-3 3000 Wiesener, Viva 3010 Alkatout, Ibrahim 3010 Andresen, Kristin 3010 Bauerschlag, Dirk Olaf 3010 Both, Marcus 3010 Dhanawat, Juhi 3010 Mathiak, Micaela 4000 Massive uterine fibroid$da diagnostic dilemma: a case report and review of the literature [Wiesener, Viva] 4209 Background Fibroids of the uterus are the most common benign pelvic tumors in women worldwide. Their diagnosis is usually not missed because of the widespread and well-established use of ultrasound in gynecological clinics. Hence, the development of an unusually large myoma is a rare event, particularly in first-world countries such as Germany. It is even more uncommon that a myoma is misdiagnosed as a dietary failure. Case presentation Herein, we report the case of a Caucasian woman with a giant fibroid that reached a size of over 50 cm, growing slowly over the past 15 years, and was misdiagnosed as abdominal fat due to weight gain. We aim to discuss the factors that lead to the growth of such a huge tumoral mass, including misdiagnosis and treatment, and the psychological impact. Through this case, we intend to increase the awareness among general physicians and gynecologists. Although menstrual disorders incorporate several pathologies, adequate assessment remains the primary responsibility of health care providers. A literature review revealed approximately 60 cases of giant uterine fibroids. Conclusion The use of clinical and diagnostic devices, especially ultrasound, in this case, is indispensable. In conclusion, the growth of a giant fibroid can have disastrous effects on a woman's health, including surgical trauma and psychological issues. 4950 https://doi.org/10.1186/s13256-021-02959-3$xR$3Volltext$534 4950 https://nbn-resolving.org/urn:nbn:de:gbv:8:3-2022-00300-8$xR$3Volltext$534 4961 https://macau.uni-kiel.de/receive/macau_mods_00002713 5051 610 5550 Female 5550 Germany 5550 Giant Fibroid 5550 Humans 5550 Leiomyoma 5550 misdiagnosis 5550 Surgery 5550 Ultrasonography 5550 Uterine Mass 5550 Uterine Neoplasms 5550 weight gain