Case Report


Rapidly growing solid abdominal mass in pregnancy, a case report of bladder fibroid in pregnancy

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1 Senior Lecturer, Obstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

2 Clinical Lecturer, Obstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysian, Malaysia

3 Trainee Specialist, Obstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

Address correspondence to:

Pek Sung Hoo

Clinical Lecturer, Obstetrics & Gynaecology Department, School of Medical Science, Universiti Sains Malaysia, Kota Bharu, Kelantan,

Malaysia

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Article ID: 100049Z08AI2019

doi: 10.5348/100049Z08AI2019CR

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How to cite this article

Ismail AA, Hoo PS, Afendi NR, Hussein Z, Rahim RA, Zon EM. Rapidly growing solid abdominal mass in pregnancy, a case report of bladder fibroid in pregnancy. J Case Rep Images Obstet Gynecol 2019;5:100049Z08AI2019.

ABSTRACT


We present a case report of rapid growing bladder fibroid in pregnancy. A 28 years old presented initially with lower abdominal discomfort and progressive growing abdominal mass size 22 weeks uterus with no menstrual disturbances or compressive symptoms such as urinary or bowel symptoms. A diagnosis of solid ovarian tumor was made after computed tomography (CT) scan. She was then found to be pregnant prior to surgery. Hence, the surgery was postponed to second trimester of pregnancy. Upon assessment at 14 weeks of pregnancy, the mass had grown up to 26 weeks size of uterus. Intraoperatively, huge bladder fibroid with normal uterus and ovaries were found, confirmed by histopathology later. The fibroid was removed successfully but complicated with partial cystectomy and reconstruction. It healed without complication. The pregnancy progressed well till term. A healthy baby was delivered via emergency caesarean section due to poor progress of labor.

Keywords: Bladder fibroid, Pregnancy, Solidovarian tumor

SUPPORTING INFORMATION


Author Contributions

Ahmad Amir Ismail - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Pek Sung Hoo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Nik Rafiza Afendi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Zharif Hussein - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Rahimah Abdul Rahim - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Errina Mohamad Zon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Source of Support

None

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 Ahmad Amir Ismail et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.