UÇER, Oktay Celal Bayar University - Faculty of Medicine - Department of Urology, Turkey , GUMUS, Bilal Celal Bayar University - Faculty of Medicine - Department of Urology, Turkey , AYDEDE, Hasan Celal Bayar University - Faculty of Medicine - Department of General Surgery, Turkey , KANDILOGLU, Ali Rıza Celal Bayar University - Faculty of Medicine - Department of Pathology, Turkey

Degenerated Primary Retroperitoneal Leiomyoma: A Rare Case

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Primary retroperitoneal leiomyomas are a very rare clinical condition. We present the case of degenerated primary leiomyoma in retroperitoneal area. A 33-year-old primiparous woman presented with chronic constipation. On examination, there was a large firm unpainful palpable lumbar mass in the left side. The diagnostic workup included contrast computer tomography, transabdominal ultrasonography, and colonoscopy that revealed a 7,5-cm heterogeneous retroperitoneal tumor in the left infrarenal area. At laparotomy, the mass arising from the retroperitoneum was excised. Histopathology showed a degenerated leiomyoma. Preoperative imaging can only give provisional diagnosis and can be misguiding. Considering current limitations in radiological diagnosis, surgical excision of these tumors is necessary to rule out malignancy.

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Retroperitoneal space , Degenerated leiomyoma , Retroperitoneal leiomyoma

Fırat Medical Journal

59