AN INTERESTING CASE OF PARASITIC FIBROID WITH ASCITES

Fibroids are common benign tumors of the uterus in reproductive age group.If the tumor grows outward towards the peritoneal surface it shows itself as a bossy growth and termed as subserous fibroid..further growth leads to formation of a pedunculated fibroid..such a tumor gets attached to a vascular organ and is cut off from its uterine origin.(PARASITIC FIBROID).our patient,a 28 YEAR OLD P1L1 ,previous caesarean section Presented with 24 weeks size pelvic mass ..routine blood investigations were normal .Ca 125---248 iuml (high).CT scan showed a vascular subserous fibroid..the patient underwent laparotomy revealing a 30x15 cm parasitic fibroid deriving vascular supply through highly tortuous feeders from greater omentum with coexisting ascites of about 1.5 litres..myomectomy done by clamping the pedicle ..the tortuous risky feeders in greater omentum were clamped and ligated..uterus was preserved after intra op confirmation of benign nature grossly.