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Clín. investig. ginecol. obstet. (Ed. impr.) ; 36(6): 219-222, nov.-dic. 2009. ilus
Article in Spanish | IBECS | ID: ibc-96658

ABSTRACT

Presentamos un caso de diagnóstico inicial de masa pélvica de probable origen ginecológico, etiquetada de mioma uterino como hipótesis diagnóstica principal, en que los hallazgos intraoperatorios descartan esta posibilidad y no confirman ninguna otra, difiriendo el diagnóstico hasta el informe final del anatomopatólogo en que describe una masa de origen textil persistente desde la apendicectomía realizada 18 años antes. Se demuestra así la discordancia existente entre el diagnóstico inicial y el definitivo, además de la necesidad de plantear el cuerpo extraño intraabdominal en el diagnóstico diferencial de este tipo de masas en pacientes intervenidos quirúrgicamente con anterioridad (AU)


We present a case of a pelvic mass of probable gynecological origin, whose principal suspected diagnosis was uterine myoma. Intraoperative findings excluded this diagnosis but failed to confirm other possibilities. The definitive diagnosis was delayed until the pathological report described a mass caused by a textile foreign body retained since an appendicectomy performed 18 years previously. The present report illustrates the discrepancy between the initial and definitive diagnosis, as well as the need to include an intraabdominal foreign body in the differential diagnosis of this type of mass in previously operated patients (AU)


Subject(s)
Humans , Female , Adult , Abdominal Neoplasms/diagnosis , Foreign-Body Reaction/diagnosis , Diagnosis, Differential , Pelvic Neoplasms/diagnosis
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