A unique pathology associated with pelvic pain and adnexal mass

Courtney Lim, Jennifer Hirshfeld-Cytron, Caitlin McCarthy, Zong Ming Chen, Magdy P. Milad

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective: To present a unique case of pelvic pain. Design: Case report. Setting: Academic institution. Patient(s): Thirty-nine year-old with history of endometriosis presented with pelvic pain and possible adnexal mass. Intervention(s): Imaging results were not consistent and suggested possible adnexal mass and hydrosalpinx in different studies. Physical exam was concerning for a vaginal mass that was felt not to be contiguous with the adnexa. At laparoscopy, a 3cm pararectal mass was identified immediately lateral to the uterosacral ligament and medial to the ureter. This mass was completely resected laparoscopically. Main Outcome Measure(s): Resolution of pelvic pain. Result(s): Pathologic diagnosis was ganglioneuroma. Postoperatively, the patient had resolution of her pelvic pain. Conclusion(s): Pelvic ganglioneuromas are a very rare entity but emphasize the importance of a broad differential for pelvic pain.

Original languageEnglish (US)
Pages (from-to)2432.e9-2432.e11
JournalFertility and Sterility
Volume95
Issue number7
DOIs
StatePublished - Jun 2011

Keywords

  • Pelvic pain
  • ganglioneuroma

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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