Unsuspected components of a fibroid uterus: Angiolipoleiomyoma

Angiolipoleiomyoma (ALLM) is a rare variant of benign neoplasm of the uterus. It has a prevalence of only 0.06% with only a handful of cases. According to our review of the literature, this case study is one of the only two youngest patients of ALLM reported. We present the case of a 26-year-old female with ALLM of the uterus. She presented with a large abdominopelvic mass and underwent myomectomy and plication of the round ligament to preserve fertility. Although renal angiomyolipomas are more prevalent, extrarenal manifestation especially that which is found in the uterus is still a rare entity. Commonly occurring in women in their fifth to sixth decades of their lives, the case presented here is of a woman in her reproductive age. Therefore, by reporting it we are not only acquainting physicians to consider this as a differential, but also for World Health Organisation (WHO) to include this in their classification of tumours of the female genital tract.