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Unusual association of diseases/symptoms
CASE REPORT
Massive ascites, pelvic mass, elevated CA-125 and weight loss: think outside the 'ovaries'
  1. Jehan Khalid Mohammed Musleh,
  2. Mohammed Almulhem,
  3. Nourah Hasan Al Qahtani
  1. Department of Obstetrics and Gynaecology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  1. Correspondence to Dr Nourah Hasan Al Qahtani, nhqahtani{at}uod.edu.sa

Summary

A 44-year-old woman presented with 3 months’ history of painless progressive abdominal distension and weight loss of more than 15 kg. Clinically a pelviabdominal mass with ascites was detected. CT scan of the pelvis and abdomen showed a subserosal leiomyoma with huge amount of ascites. Cancer Antigen (CA)-125 was 546 kU/L. Exploratory laparotomy with myomectomy was done and this was followed by dramatic improvement postoperatively.

  • Obstetrics and gynaecology
  • Reproductive medicine

https://doi.org/10.1136/bcr-2016-217497

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    Footnotes

    • Contributors JKMM collected the data related to patient's history and wrote the primary draft of the paper.

      MA collected the investigations of the patients and the conception of the paper.

      NHAQ initiated the conception and reviewed and edited the final draft of the paper.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.