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Related Experiment Video

Updated: May 21, 2026

Robotic Enucleation of Esophageal Leiomyoma

Robotic Enucleation of Esophageal Leiomyoma

Published on: February 20, 2026

Lipoleiomyoma.

Ballari Ghosh¹, Barbara McKeown, Aparna Gumma

¹Obstetrics and Gynaecology Department, Peterborough City Hospital, Peterborough, Cambridgeshire, UK. ballari.ghosh@doctors.org.uk

BMJ Case Reports

|June 9, 2012

Summary

A rare uterine tumor, lipoleiomyoma, caused chronic pelvic pain in a postmenopausal woman. Surgical removal confirmed the benign diagnosis, resolving her symptoms.

Area of Science:

Gynecologic Oncology
Surgical Pathology
Reproductive Medicine

Background:

Chronic pelvic pain is a common gynecological complaint, often associated with various benign and malignant conditions.
Lipoleiomyomas are rare benign tumors of the uterus, characterized by a mixture of smooth muscle and adipose tissue.
Differentiating lipoleiomyomas from other uterine masses like fibroids or ovarian tumors can be challenging preoperatively.

Observation:

A 56-year-old postmenopausal woman presented with acute exacerbation of chronic pelvic pain, described as dull, grinding, and radiating to the lower back.
Physical examination revealed a 12-14 week size, slightly tender abdominal mass.
Pelvic ultrasound and MRI demonstrated a well-circumscribed, heterogeneous 10 cm mass posterior to a normal uterus.

Findings:

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Preoperative diagnosis considered subserosal fibroid or ovarian fibroma, with normal Ca-125 levels.
Laparotomy revealed a 10 cm mass originating from the posterior aspect of the uterus.
Histopathology confirmed the mass as a mature lipoleiomyoma.

Implications:

This case highlights the importance of considering rare uterine tumors in the differential diagnosis of pelvic masses.
Accurate preoperative diagnosis and surgical management are crucial for resolving symptoms and ensuring benign outcomes.
Understanding the imaging and pathological features of lipoleiomyoma aids in its distinction from more common gynecological pathologies.