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International Journal of Reproductive BioMedicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
ISSN: 1680-6433
EISSN: 2008-2177
Vol. 12, No. 12, 2014, pp. 831-834
Bioline Code: rm14114
Full paper language: English
Document type: Case Report
Document available free of charge

International Journal of Reproductive BioMedicine, Vol. 12, No. 12, 2014, pp. 831-834

 en A rare case of a giant cystic leiomyoma presenting as a retroperitoneal mass
Naykı, Ümit; Naykı, Cenk; Uluğ, Paşa; Yılmaz, Ismayil; Cetin, Zeliha & Yıldırım, Yusuf


Background: Giant retroperitoneal uterine leiomyomas are uncommon. Degenerative changes of a leiomyoma may lead to unusual presentation resulting in misdiagnosis preoperatively. The final diagnosis can be made either intraoperatively or histologically.
Case: We report a 45-year-old multiparous women presented with abdominal distension and fatigue for six months. Abdominopelvic Sonography and computed tomography showed a large cystic mass that filled the pelvis and abdomen. With the preoperative diagnosis of a malignant tumor, a laparotomy was planned. Intraoperatively, a cystic mass originated from the uterus near the left side of the broad ligament extending to the retroperitoneal space was observed. Total hysterectomy and bilateral salphingo-oopherectomy was administered. The histology revealed a leiomyoma with cystic degeneration.
Conclusion: Retroperitoneal leiomyomas should be kept in mind in the diferrential diagnosis of a giant cystic mass in abdomen.

Uterine leiomyoma; Giant Leimyoma; Retroperitoneal mass; Cystic degeneration

© Copyright 2014 - Iranian Journal of Reproductive Medicine
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