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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'

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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