Aggressive angiomyxoma of the pelvis presenting as an obturator hernia
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Abstract
İNTRODUCTION : Angiomyxoma is a rare slow-growing soft tissue myxoid cell tumor that usually arises in the pelvis and perineal regions and occurs predominantly in women in the fourth decade. Angiomyxomas usually present as often initially misdiagnosed asymptomatic masses. Most common clinical early diagnoses of aggressive angiomyxomas are in form Of Vulvar Masses, Vulvar Lipomas, Bartholin’s Cysts, Levator Hernias, Inguinal Hernias Or Cervical Polyps.
PATIENTS AND METHODS : his paper presents the case of the pelvic angiomyxoma diagnosis of a 41 year old with early indings of suspicious obturator hernia during the initial physical examination. RESULTS: he dissection was extended from the right retrorectal area to the ischiorectal cavity and the mass was reached. he capsulated mass of 10*15 cm with soft consistency was completely released and unblocked, it was excised from the abdomen through the incision using wound protection he obturator defect was repaired with interrupted sutures.
CONCLUSIONS: Angiomyxoma is a rare, benign and locally aggressive tumor, which can iniltrate locally and present unusually as perineal hernia. Due to its rarity and lack of speciic diagnostic requirements, it’s diicult to diagnose preoperatively