Scholarlink

Background <p>Angioleiomyoma of the uterus is an extremely rare benign smooth muscle tumor with prominent vascular channels. Preoperative diagnosis is challenging due to its nonspecific clinical and radiological features.</p> Case Presentation <p>We report a case of giant uterine angioleiomyoma in a 40-year-old nulliparous woman who presented with progressive abdominal distension. Clinical examination revealed a large abdominopelvic mass. Contrast-enhanced computed tomography (CECT) showed a heterogeneous abdominopelvic mass measuring 16.2 × 31.6 × 32 cm, along with mild-to-moderate ascites, omental thickening, nodularity, and a gross right-sided pleural effusion.</p> Intervention and Outcome <p>An exploratory laparotomy was performed, revealing a mass arising from the left side of the uterine fundus. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done, and the excised specimen measured 48 × 45 cm and weighed 15 kg. Histopathology confirmed the diagnosis of uterine angioleiomyoma.</p> Conclusion <p>Giant uterine angioleiomyomas are extremely rare and can be difficult to diagnose preoperatively. It can mimic malignancy clinically and radiologically. This case is presented due to its rarity and the challenges in preoperative diagnosis.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Giant Angioleiomyoma of Uterus: A Rare Case Report

  • 期刊论文

  • 发表日期：

    2025年12月27日

查看全文
  • Sangita Ramteke,
  • Smruti Gedam,
  • Saniah M. Kazi,
  • Swati Kapsikar

摘要

Background

Angioleiomyoma of the uterus is an extremely rare benign smooth muscle tumor with prominent vascular channels. Preoperative diagnosis is challenging due to its nonspecific clinical and radiological features.

Case Presentation

We report a case of giant uterine angioleiomyoma in a 40-year-old nulliparous woman who presented with progressive abdominal distension. Clinical examination revealed a large abdominopelvic mass. Contrast-enhanced computed tomography (CECT) showed a heterogeneous abdominopelvic mass measuring 16.2 × 31.6 × 32 cm, along with mild-to-moderate ascites, omental thickening, nodularity, and a gross right-sided pleural effusion.

Intervention and Outcome

An exploratory laparotomy was performed, revealing a mass arising from the left side of the uterine fundus. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done, and the excised specimen measured 48 × 45 cm and weighed 15 kg. Histopathology confirmed the diagnosis of uterine angioleiomyoma.

Conclusion

Giant uterine angioleiomyomas are extremely rare and can be difficult to diagnose preoperatively. It can mimic malignancy clinically and radiologically. This case is presented due to its rarity and the challenges in preoperative diagnosis.