caa a22 4500 445306750 CHVBK 20180317142615.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00404-010-1576-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1576-0 The diagnostic and therapeutic approach of a primary bilateral leiomyoma of the ovaries: a case report and a literature review [Elektronische Daten] [E. van Esch, S. van Wijngaarden, H. Schaafsma, M. Smeets, J. Rhemrev] Introduction: A primary fibroid (leiomyoma) arising from both ovaries is rare and can be difficult to diagnose as a result of the low incidence and its indistinctive presentation. A literature review on the diagnostic and therapeutic approach of this rare benign tumour is presented. We describe a case of bilateral primary ovarian fibroid with an unusual presentation to illustrate our recommendations for treatment. Case presentation: A 37-year-old woman was admitted with symptoms of acute severe abdominal pain. She had a history of faint abdominal discomfort. Due to the acute deterioration of the abdominal pain a diagnostic laparoscopy was performed. A tumour arising from both ovaries was seen and a biopsy was taken in order to decide on further therapy. Histology showed a fibroid for which excision by a second laparoscopic intervention was planned. Due to excessive adhesions conversion to laparotomy was necessary. Conclusion: We recommend that in the case of an abnormal adnexal mass, particularly in women who want to preserve their fertility, frozen section histology be performed laparoscopically. A frozen section diagnostic procedure, instead of a regular biopsy, seems to be a useful tool during an elective diagnostic laparoscopic procedure in order to prevent potential morbidity as a result of possible future laparoscopy or even laparotomy. Previous laparoscopic procedures can cause massive adhesions that could impede a subsequent laparoscopic approach. Springer-Verlag, 2010 Leiomyoma nationallicence Ovary nationallicence Laparoscopy nationallicence Benign tumour ovaries nationallicence Bilateral leiomyoma nationallicence Fibroid nationallicence Primary leiomyoma nationallicence Adnexal mass nationallicence van Esch E. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut van Wijngaarden S. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut Schaafsma H. Department of Pathology, Bronovo Hospital, The Hague, The Netherlands aut Smeets M. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut Rhemrev J. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1369-1371 0932-0067 283:6<1369 2011 283 404 https://doi.org/10.1007/s00404-010-1576-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1576-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van Esch E. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut NATIONALLICENCE 700 1- van Wijngaarden S. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut NATIONALLICENCE 700 1- Schaafsma H. Department of Pathology, Bronovo Hospital, The Hague, The Netherlands aut NATIONALLICENCE 700 1- Smeets M. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut NATIONALLICENCE 700 1- Rhemrev J. Department of Gynecology, Bronovo Hospital, Postbus 96900, 2509 JH, The Hague, The Netherlands aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1369-1371 0932-0067 283:6<1369 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer