Free Calcified Fibrous Mass Cluster shape Isolated Peritoneal and Retroperitoneal

Abstract

A 45-year-old G8p7 female patient, with no co-morbidities and no history of previous abdominal surgery, came to our   hospital with complaints of chronic abdominal pain for the last seven months   that did not respond to analgesics. She complained also about intermittent mild vaginal bleeding that had not stopped after six months of hormonal therapy.

She underwent CT imaging witch reveals numerous calcifications within the abdomen. The largest is 4 cm .Endometrial thickness about 15 ml.

During the surgery, several hard blocks were seen in the abdomen with free movement, White color and different morphologies.

In the pelvis, uterus was slightly enlarged with a cluster shaped mass palpated on the both sides of the rectum. In pathology these blocks was diagnosed as collagenase fibrous nodules with secondary calcification

Case report: A 45-year-old G8p7   female patient, with no co-morbidities and no history of previous abdominal surgery, presented to our   hospital with complaints of chronic abdominal pain for the last seven months   that did not respond to analgesics she complained also about intermittent mild vaginal bleeding that had not stopped after six months of hormonal therapy.

Ultrasound scan revealed  a mass in the pelvis near the uterus measured 3 to 4 cm She underwent CT imaging witch showed several calcification  distributed in the pelvis and the  abdomen most of them measured 3 - 4cm. The patient’s complete blood count and other routine biochemical values were within normal limits .Tubercolosis screening test was negative.

A decision was made to perform surgery, during the surgery several hard blocks were seen in the abdomen with free movement, white color and different morphologies.

In the pelvis, uterus was slightly enlarged with a cluster shaped mass palpated on the both sides of the rectum. Total abdominal hysterectomy and bilateral oophorectomy.

General surgery physicians were called, they dissected around the rectum and partial resection of the cluster-shaped retroperitoneal mass was performed, as it was observed that there is extension on both sides of the spine, which made it difficult to remove totally.

In pathology these blocks was diagnosed as collagenase fibrous nodules with secondary calcification. It was observed also simple and complex endometrial hyperplasia with focal atypical..