Leiomioma retroperitoneal

  1. Forneiro Pérez R. 1
  2. Gallart Aragón T. 1
  3. Jiménez Hernández M.C. 1
  1. 1 Hospital Universitario Clínico San Cecilio. Granada.
Journal:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Year of publication: 2020

Volume: 31

Issue: 4

Pages: 518-522

Type: Article

DOI: 10.37351/2020314.11 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Cirugía Andaluza

Abstract

Introduction: Leiomyomas are benign smooth muscle tumors, whose maximum incidence is observed in middle-aged women. They are mainly located at the uterine level, although cases have also been described in retroperitoneum, where they barely produce symptoms, or in other locations where there is smooth muscle. This fact delays the diagnosis and causes them to present a large size when detected. In addition, periodic follow-up of patients is recommended since in some cases they may recur or transform into a sarcoma. Case description: We present a 55-year-old woman, ex-smoker with a personal history of ulcerative colitis (under treatment with immunosuppressants), autoimmune hypothyroidism and biliary lithiasis. As a surgical background, we highlight a Cesarean section. During her follow-up for ulcerative colitis, the patient was asked for an enteroRMN showing: Neoformation and 9 x 5 x 4,5 centimeters in the left iliac fossa in front of the uterus in relation to a possible lesion of adnexal origin compatible with low grade retroperitoneal leiomyoma. Discussion: Extra-uterine myomas are rare manifestations of this benign tumour, with retroperitoneal leiomyomas being a subtype. It is important to consider the possibility of retroperitoneal leiomyoma as a differential diagnosis of retroperitoneal masses.

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