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Journal of Case Reports
Retroperitoneal Cystic Leiomyoma Masquerading as Ovarian Cyst, Presenting as Huge Incisional Hernia
Keyur Bhatt, Dhaval Mangukiya, Ajay Seth
Department of GI-HPB and Cancer Surgery, SIDS Hospital & Research Centre, Surat, Gujarat, India.
Corresponding Author:
Dr. Keyur Bhatt
Email: drkeyurbhatt@gmail.com
Received: 25-APR-2019 Accepted: 23-AUG-2019 Published Online: 05-SEP-2019
DOI: http://dx.doi.org/10.17659/01.2019.0048
Background: Giant retroperitoneal cysts are uncommon, with an estimated incidence of 1/5750 to 1/250,000. Degenerative changes of leiomyoma may lead to complex presentation resulting in misdiagnosis. The final diagnosis can be made either during surgery or histologically. The most prevalent mesenchymal tumors at this site are of a lipomatous, myogenic or neuroectodermal nature. Case Report: We have a case of large leiomyoma of retroperitoneum with cystic degeneration confirmed on immune-histochemistry, which presented to us as right iliac fossa herniation masquerading as a huge right ovarian cyst. Conclusion: The retroperitoneal leiomyoma should be considered in the differential diagnosis of a giant cystic mass in abdomen.
Keywords : Leiomyoma, Lipoma, Neoplasms, Ovarian Cysts, Retroperitoneal Space.
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