Journal of Womens Health, Issues and Care ISSN: 2325-9795

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Case Report, J Womens Health Issues Care Vol: 6 Issue: 3

A Rare Case of Extra-Uterine Pelvic Leiomyoma

Mame Diarra Ndiaye Gueye, Mamour Gueye*, Magatte Mbaye, Aliou Diouf, Mouhamadou Wade, Moussa Diallo, Omar Gassama and Jean Charles Moreau

Obstetric and Gynaecologic Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Dakar, Senegal

*Corresponding Author : Dr. Mamour Gueye
Obstetric and Gynaecologic Clinic, Aristide Le Dantec Teaching Hospital, PO BOX 3001, Dakar, Senegal
Tel:
0022177 6517272
E-mail:
[email protected]

Received: April 13, 2017 Accepted: May 09, 2017 Published: May 15, 2017

Citation: Gueye MDN, Gueye M, Mbaye M, Diouf A, Wade M, et al. (2017) A Rare Case of Extra-Uterine Pelvic Leiomyoma. J Womens Health, Issues Care 6:3. doi: 10.4172/2325-9795.1000273

Abstract

Extra-uterine leiomyomas are rare, benign, and may arise in any anatomic sites. Extra-uterine leiomyomas are diagnostic challenge due to their rare unusual locations. We present a case of pelvic leiomyoma mimicking ovarian mass in a 34-year-old woman who was suffering for right pelvic pain. Clinical and imaging findings revealed an ovarian leimyoma. A laparotomy using Pfannenstiel incision was performed. Pelvic organs and both ovaries appeared normal. There was a firm mass about 5 cm in size distinct from the left ovary and attached to uterus with some fine adhesions that were cut allowing removal of the mass. Pathologic examination concluded to a benign leiomyoma. The recovery was uneventful and pelvic pain disappeared. Leiomyomas occur infrequently outside the uterus. Although they are histologically benign, extra-uterine leiomyomas may mimic malignant tumours at imaging and may present a diagnostic challenge. Surgical excision is the most common treatment.

Keywords: Uterine leiomyoma; Physiopathology; Anti-desmin

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