Giant uterine leiomyoma: Not all pediatric pelvic masses are ovarian

• Main Authors: Patrick Opperman, MS (Author), Melissa Suh, MD (Author), Peter Abasolo, MD (Author), Shahab Abdessalam, MD (Author)
• Format: Book
• Published: Elsevier, 2021-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-5766; 10.1016/j.epsc.2021.101820
• Keywords: Uterine fibroid; Leiomyoma; Adolescent pelvic mass; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Case Reports, Vol 69, Iss , Pp 101820- (2021)

Uterine leiomyomas are rare in the adolescent population with only 19 reported cases in the literature. Interestingly, these masses represent a common presentation of gynecologic tumors with increasing age. We report a case of a 15-year-old female who presented with six months of abdominal pain and loose stools. Menstruation began at 11 years of age and she had no gravida history. Workup with ultrasound demonstrated a large pelvic mass presumed to be of ovarian origin. Diagnostic laparoscopy was performed identifying a large uterine mass. An open Pfannenstiel incision was made for complete resection. The mass weighed 526 g and was 11 × 9 × 9cm.The patient remains asymptomatic at 6 month follow up.