A 45-year-old G8p7 female patient is with no co-morbidities and no history of previous abdominal surgery. The patient visited Damascus University Gynecology and Obstetrics Hospital with complaints of chronic abdominal pain for the last seven months that did not respond to analgesics. The patient also complained about intermittent mild vaginal bleeding that had not stopped after six months of hormonal therapy. The patient underwent CT imaging which reveals numerous calcifications within the abdomen. The largest is 4 cm. Endometrial thickness is about 15 mm. During the surgery, several hard blocks were seen in the abdomen with free movement, White color and different morphologies. In the pelvis, uterus was slightly enlarged with a cluster shaped mass palpated on the both sides of the rectum. In pathology these blocks were diagnosed as collagenase fibrous nodules with secondary calcification.
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