An unusual case report: retroperitoneal hydropic leiomyoma

Öz

Leiomyomas are one of the most prevalent gynecological conditions that cause bleeding in women, particularly in the postmenopausal and perimenopausal stages. Nonetheless, one of the rarest forms of myoma is retroperitoneal hydropic myoma. A 45-year-old woman with a history of four pregnancies, two cesarean sections, one vaginal delivery, and one abortion will be the subject of this case presentation. During her preoperative examination, a retroperitoneal hydropic myoma was discovered to be an adnexal mass. The patient's preoperative pelvic MRI was interpreted as follows: Approximately 15 x 16 cm in size, a giant cystic mass lesion filled the pelvis completely and extended superiorly to the umbilical level. It contained contrast-enhancing septal components, and in the superior left half, there was a contrast-enhancing and diffusion-restricting solid component that measured about 4 x 3 cm and was believed to be from the right ovary (mucinous ovarian carcinoma?). The uterus is being forced anteriorly by the giant mass lesion that has been described. A retroperitoneal cystic tumor was removed during the procedure. A hydropic leiomyoma without necrosis or hemorrhage was discovered by microscopic and histopathologic analysis. The hydropic degeneration of the leiomyoma and its uncommon location make this case remarkable. Furthermore, it was difficult to make an accurate diagnosis because it initially resembled an ovarian cyst.

Anahtar Kelimeler

• Ovarian cyst
• leiomyoma
• retroperitoneal leoimyoma
• hydropic leiomyoma
• retroperitoneal hydropic leiomyoma

Sıra dışı bir olgu sunumu: retroperitoneal hidropik leiomyom

Öz

Leiomyomlar, özellikle postmenopozal ve perimenopozal dönemlerde kadınlarda kanamaya neden olan en yaygın jinekolojik rahatsızlıklardan biridir. Bununla birlikte, en nadir miyom türlerinden biri retroperitoneal hidropik miyomdur. Dört gebelik, iki sezaryen, bir vajinal doğum ve bir kürtaj öyküsü olan 45 yaşında bir kadın bu olgu sunumunun konusu olacaktır. Ameliyat öncesi muayenesinde, retroperitoneal hidropik miyomun adneksiyel bir kitle olduğu tespit edildi. Hastanın ameliyat öncesi pelvik MR'ı şu şekilde yorumlandı: Yaklaşık 15 x 16 cm boyutlarında, pelvisi tamamen dolduran ve göbek hizasına kadar uzanan dev bir kistik kitle lezyonu. Kontrast madde içeren septal komponentler ve üst sol yarısında, yaklaşık 4 x 3 cm boyutlarında, sağ overden kaynaklandığı düşünülen kontrast madde içeren ve difüzyonu kısıtlayan solid bir komponent (müsinöz over karsinomu?) mevcuttu. Uterus, tarif edilen dev kitle lezyonu tarafından öne doğru itilmekteydi. İşlem sırasında retroperitoneal kistik bir tümör çıkarıldı. Mikroskobik ve histopatolojik analizler sonucunda nekroz veya kanama olmaksızın hidropik leiomyom tanısı konuldu. Leiomyomun hidropik dejenerasyonu ve nadir görülen yerleşimi bu olguyu dikkat çekici kılmaktadır. Ayrıca, başlangıçta bir over kistine benzediği için doğru tanı koymak zordu.

Anahtar Kelimeler

• Over kisti
• leiomyom
• retroperitoneal leiomyom
• hidropik leiomyom
• retroperitoneal hidropik leiomyom

Kaynakça

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