A large intra-abdominal leiomyoma with unusual urinary symptom: case report

Abstract

Abdominal or intra-abdominal masses are defined as any enlargement or swelling localized in the abdominal area. Intra-abdominal masses can be diagnosed from abdominal symptoms or through physical examination, as well as can incidentally be detected from radiological imaging performed for other reasons. In this study, the diagnosis and treatment of intra-abdominal mass in a 27-year-old nulliparous female patient with unusual urinary symptom is presented. Preoperative magnetic resonance (MRI) images showed an intra-abdominal solid mass. The mass excision was performed, and surgical recovery was achieved. Pathological results revealed that the mass was a large leiomyoma of 15 cm×14 cm×11 cm size with extrauterine localization, which is quite rare in the literature. Post-operative results showed that the patient’s existing urinary complaint had completely disappeared.

Keywords

• Intra-abdominal mass
• leiomyoma
• urinary symptom

References

1. Das S. Examination of abdominal lump: A manual on clinical surgery. 11th ed. Calcutta: S.D. Publications; 2015.
2. Fasih N, Prasad Shanbhogue AK, Macdonald DB, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics 2008; 28: 1931-48.
3. Midya, M, Dewanda, NK. Primary anterior abdominal wall leiomyoma-a diagnostic enigma. J Clin Diag Res 2014; 8: NJ01-2.
4. Swartz, MH. Textbook of physical diagnosis: History and examination. 5th ed. Philadelphia: Saunders Elsevier; 2006.
5. Bhagat S, Gauba N, Singh S, Singh A, Mahal GBS. Assessment and comparison of abdominal masses by sonography and computed tomography. J Evol Med Dent Sci 2014; 3: 84-94.
6. Gascin CM, Helms CA. Lipomas, lipoma variants, and well differentiated liposarcomas (atypical lipomas): results of MRI evaluations of 126 consecutive fatty masses. Am J Roentgenol 2004; 182: 733-9.
7. Brady MS, Gaynor JJ, Brennan MF. Radiation associated sarcoma of bone and soft tissue. Arch Surg 1992; 127: 1379-85.
8. Akkoca, M, Tokgöz, S, Yılmaz, KB, Akıncı, M, Yılmazer, D. Diagnosis and treatment approaches for intraabdominal masses in adults. Ankara Üniv Tıp Fak Mec 2017; 70: 201-5.

9. Nasta A, Nandy K, Bansod Y. An unusual case of abdominal leiomyoma presenting as a free lying intraperitoneal mass in an elderly gentleman. Case Rep in Surg 2016; 1714958.