{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:17:16Z","timestamp":1777933036249,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005048","name":"Departamento de Ingenier\u00eda Mec\u00e1nica, Universidad de Chile","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Key Clinical Message<\/jats:title>\n Obesity results in higher risk of some cancers while obesity stigma affect patient's quality of care. In this case report, a 46\u2009kg ovary mass was misdiagnosed as severe obesity. Obesity stigma awareness and a sustained effort from healthcare professionals are required to deliver adequate patient care to patients with obesity.<\/jats:p>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n Obesity is a disease associated with an increased risk of cardiovascular diseases, diabetes, musculoskeletal disorders, and some cancers. Obesity stigma affect patients and healthcare professionals leading to mistrust, poor adherence, noncompliance to screening, and misdiagnosis. We reported a case report of a patient sent to our referral center for surgical evaluation of long\u2010standing severe obesity (BMI 59). Physical examination was significant for abdominal obesity with a hard consistency, but no cushingoid dysmorphism or lipodystrophy. No abdominal pain, pelvic pain, vaginal bleeding, or change in bowel movements were present. Tumor markers were normal except for an elevated Ca 19.9. Imaging showed a large, intraperitoneal abdominal mass with no metastatic disease. The patient underwent surgery to remove a 46\u2010kg complex ovarian cystic mass (circumference: 160\u2009cm, diameter: 67\u2009cm), full of liquid and with six nodular areas. The mass was entirely extracted with an intact capsule. The cystic mass resulted in a well\u2010differentiated intestinal\u2010type adenocarcinoma with microinvasive foci, an endophytic borderline area (sec. WHO 2014), and mucinous\u2010cystic areas with no atypia. The patient had postoperative bilateral basal pleural effusion resolved with conservative treatment and was discharged at home on postoperative day 12 with an uneventful 90\u2010day postoperative follow\u2010up. In the present case report, a 46\u2009kg ovary mass was misdiagnosed as severe obesity, and the patient was referred for bariatric evaluation. Unveiling biases related to obesity stigma is the first step to ensuring better patient care. Obesity stigma awareness and a sustained effort from healthcare professionals are required to deliver adequate patient care to patients with obesity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ccr3.9360","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T23:46:17Z","timestamp":1730504777000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["46\u2010kg abdominal tumor misdiagnosed as obesity: Unveiling healthcare bias due to obesity stigma"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7460-9578","authenticated-orcid":false,"given":"Giacomo","family":"Calini","sequence":"first","affiliation":[{"name":"Surgery of the Alimentary Tract IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) Alma Mater Studiorum University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0278-4139","authenticated-orcid":false,"given":"Matteo","family":"Rottoli","sequence":"additional","affiliation":[{"name":"Surgery of the Alimentary Tract IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) Alma Mater Studiorum University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2747-3732","authenticated-orcid":false,"given":"Antonietta","family":"D'Errico","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences (DIMEC) Alma Mater Studiorum University of Bologna Bologna Italy"},{"name":"Pathology Unit IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4309-7311","authenticated-orcid":false,"given":"Gilberto","family":"Poggioli","sequence":"additional","affiliation":[{"name":"Surgery of the Alimentary Tract IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) Alma Mater Studiorum University of Bologna Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Obesity and overweight. Accessed January 10 2024.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/obesity\u2010and\u2010overweight"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13870"},{"key":"e_1_2_12_4_1","unstructured":"Obesity and Cancer | CDC.2023Accessed January 10 2024.https:\/\/www.cdc.gov\/cancer\/obesity\/index.htm"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15020485"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0803-x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251566"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13584-022-00518-9"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12266"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-023-00495-3"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803105"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05594-1"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.841306"},{"key":"e_1_2_12_14_1","unstructured":"Ovarian Cancer Risk Factors | Risk Factors for Ovarian Cancer. Accessed January 10 2024.https:\/\/www.cancer.org\/cancer\/types\/ovarian\u2010cancer\/causes\u2010risks\u2010prevention\/risk\u2010factors.html"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14112708"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002002"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-023-01325-1"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9360","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:46:40Z","timestamp":1764254800000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/ccr3.9360"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9360","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9360"}}