%0 Journal Article %A Lee Koon Kwek %A Wei-Wei Wee-Stekly %A Su Min Bernard Chern %T Uterine fibroid or ovarian fibroma: importance of comprehensive preoperative consent-taking to include unexpected findings with management implications %D 2018 %R 10.1136/bcr-2017-222608 %J BMJ Case Reports %P bcr-2017-222608 %V 2018 %X A 35-year-old woman presented with an abdominal mass found incidentally on an ultrasound scan. On examination, the uterus was mobile and 14 weeks in size. Further imaging showed a large subserosal pedunculated fibroid, and she was counselled for laparoscopic myomectomy, morcellation in a bag, kept in open view. Intraoperatively, the mass was noted to be arising from the right ovarian ligament instead of the uterus, and decision was made to convert to open surgery. This case highlights important issues of consent-taking preoperatively and critical points to note regarding change in operative consent intraoperatively. This also highlights the importance of multidisciplinary cooperation as the decision had to be made with inputs made from gynae-oncology and pathology. %U https://casereports.bmj.com/content/casereports/2018/bcr-2017-222608.full.pdf