Dr. Balakrishnan R
Obstetrics and Gynecology
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Patient's Query
Hi doctor,
A 49-year-old G4P4 (4004) comes to your outpatient department because of bloatedness and abdominal enlargement for the past six months. LMP was two months back. She denies urinary or bowel disturbances. Pelvic mass is palpated at the midline, movable and nontender, approximately measures 3.9 inches. Can I know the impression?
Hi,
Welcome to icliniq.com.
History needs a few more details. G4, you mean she is pregnant? Rule out pregnancy. Have a urine pregnancy test, you never know. Amenorrhea may be due to perimenopausal status. Mass can be a fibroid, adenomyosis, ovarian mass in the midline. Non-gynecological causes include rectus divarication and bowel hernia, mesenteric cyst, or mass in the bowel. You will need to examine per speculum manually to confirm and finally a scan to localize the mass. As it is mobile and no other complaints, it should be a benign cause.
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Obstetrics and Gynecology
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