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