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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2018; 01(01): 065-068
DOI: 10.1055/s-0038-1675324
Case Report
Indian Society of Gastrointestinal and Abdominal Radiology

Wandering Fibroid: An Unusual Complication Arising from an Unusual Location

Nilu Malpani Dhoot
1   Department of Radiodiagnosis and Intervention, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Gobindo Pramanick‡
1   Department of Radiodiagnosis and Intervention, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Manash Saha‡
1   Department of Radiodiagnosis and Intervention, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
J Kishor Gupta‡
2   Department of Gynecology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Milan Chetry‡
3   Department of Medicine, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Chandrashish Chakraborty‡
3   Department of Medicine, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Nipanjan Ghosh‡
2   Department of Gynecology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
,
Arpita Sutradhar‡
4   Department of Pathology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
› Author Affiliations
Further Information

Publication History

Received: 07 August 2018

Accepted after revision: 04 September 2018

Publication Date:
18 June 2019 (online)

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Abstract

Wandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an apparently unrelated solid mass adherent to the anterior abdominal wall. Guided biopsy resulted in the unusual complication of an inferior epigastric artery branch injury for which embolization was done. Post embolization, the size of the mass reduced. Iatrogenic inferior epigastric artery injury is rare and can result in a large rectus sheath hematoma. Active bleeding is life threatening and warrants immediate intervention.

Keywords - parasitic fibroid - inferior epigastric artery embolization - wandering fibroids
 

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