Volume 12, Issue 12 (12-2014)                   IJRM 2014, 12(12): 831-0 | Back to browse issues page

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Naykı Ü, Naykı C, Uluğ P, Yılmaz I, Cetin Z, Yıldırım Y. A rare case of a giant cystic leiomyoma presenting as a retroperitoneal mass. IJRM 2014; 12 (12) :831-0
URL: http://ijrm.ir/article-1-501-en.html
A rare case of a giant cystic leiomyoma presenting as a retroperitoneal mass
Ümit Naykı * 1, Cenk Naykı2 , Paşa Uluğ2 , Ismayil Yılmaz3 , Zeliha Cetin4 , Yusuf Yıldırım2
1- Department of Obstetrics and Gynecology, Erzincan University, School of Medicine, Erzincan, Turkey , drumit75@hotmail.com
2- Department of Obstetrics and Gynecology, Erzincan University, School of Medicine, Erzincan, Turkey
3- Department of General Surgery, Erzincan University, School of Medicine, Erzincan, Turkey
4- Department of Pathology, Erzincan University, School of Medicine, Erzincan, Turkey
Abstract:   (5177 Views)
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.
Keywords: Uterine leiomyoma, Giant Leimyoma, Retroperitoneal mass, Cystic degeneration
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Type of Study: Original Article |
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