Cotyledonoid dissecting leiomyoma with adipocytic differentiation: A case report

•The second case of cotyledonoid dissecting lipoleiomyoma documented in the literature is reported.•Cotyledonoid dissecting leiomyoma presents in a similar manner as aggressive malignancies; however, it is a benign lesion.•Recurrence of cotyledonoid dissecting leiomyoma is exceedingly rare with only one documented recurrence following conservative treatment.