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Abdominal Wall Leiomyoma: A Case Report.

Leili Hafizi^1,2, Seyedeh Azam Pourhoseini^1,2

¹- Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Journal of Reproduction & Infertility

|June 6, 2020

Summary

Abdominal wall leiomyomas are rare benign tumors. This case highlights a leiomyoma in the abdominal wall, emphasizing its consideration in diagnosing abdominal masses.

Keywords:

Abdominal wall Leiomyoma Mass Smooth muscle tumor

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Area of Science:

Gynecologic Oncology
Surgical Pathology

Background:

Leiomyomas, commonly known as fibroids, are the most frequent benign tumors in the female reproductive system, typically originating in the uterus.
While uterine location is most common, leiomyomas can develop in other areas, including the ovaries, broad ligament, and exceptionally, the abdominal wall.

Observation:

A patient presented with abnormal uterine bleeding, right upper quadrant abdominal pain, and an ovarian mass, initially considered for laparoscopy.
Laparotomy was necessitated due to an abdominal wall mass obstructing veress needle insertion for laparoscopy.
Pathological examination confirmed the abdominal mass to be a leiomyoma.

Findings:

The case presents a rare instance of a leiomyoma occurring in the anterior abdominal wall.
The diagnosis of abdominal wall leiomyoma should be considered in the differential diagnosis of abdominal masses, even without a prior myomectomy history.

Implications:

This case underscores the potential for leiomyoma formation in extragenital sites containing smooth muscle, such as the anterior abdominal wall.
Recognition of this possibility is crucial for accurate diagnosis and appropriate management of abdominal masses.