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Rapidly growing solid abdominal mass in pregnancy, a case report of bladder fibroid in pregnancy

We present a case report of rapid growing bladder fibroid in pregnancy. A 28 years old presented initially with lower abdominal discomfort and progressive growing abdominal mass size 22 weeks uterus with no menstrual disturbances or compressive symptoms such as urinary or bowel symptoms. A diagnosis of solid ovarian tumor was made after computed tomography (CT) scan. She was then found to be pregnant prior to surgery. Hence, the surgery was postponed to second trimester of pregnancy. Upon assessment at 14 weeks of pregnancy, the mass had grown up to 26 weeks size of uterus. Intraoperatively, huge bladder fibroid with normal uterus and ovaries were found, confirmed by histopathology later. The fibroid was removed successfully but complicated with partial cystectomy and reconstruction. It healed without complication. The pregnancy progressed well till term. A healthy baby was delivered via emergency caesarean section due to poor progress of labor.