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Case Reports in Obstetrics and Gynecology
Volume 2015 (2015), Article ID 751582, 4 pages
http://dx.doi.org/10.1155/2015/751582
Case Report

A Case of Phosphoglyceride Crystal Deposition Disease in the Pelvic Soft Tissues Recurring after Initial Surgery

1Department of Obstetrics and Gynecology, Yamato-Takada Municipal Hospital, Yamato-Takada, Nara 6358501, Japan
2Department of Obstetrics and Gynecology, Nara Medical University, Kashihara, Nara 6348521, Japan

Received 3 December 2014; Accepted 29 January 2015

Academic Editor: Babatunde A. Gbolade

Copyright © 2015 Yuki Yamada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Phosphoglyceride crystal deposition disease (PGDD) is a rare disease entity that is characterized by phosphoglyceride crystal deposition that stimulates the formation of masses in soft tissue scars or bones. We report a case of PGDD in the pelvic soft tissues that recurred after initial surgical treatment. A 50-year-old woman was referred to our hospital for the evaluation of pelvic masses that were observed on an abdominal ultrasound. Magnetic resonance imaging (MRI) revealed masses in the pelvic region, with the largest being 10 cm in diameter. The masses were diagnosed as ovarian malignant tumors, and an exploratory laparotomy was performed. Operative findings revealed them to be foreign body granulomas, and the patient was diagnosed with PGDD. The patient had a history of cesarean delivery at the age of 24 years. PGDD is extremely rare, but it should be considered in the differential diagnosis of abdominal masses in patients with a history of abdominal surgery.