Archives of Gynecology and Obstetrics

, Volume 280, Issue 3, pp 499–501

Three isolated, large retroperitoneal leiomyomas

  • Woo Dae Kang
  • Seok Mo Kim
  • Yoon Ha Kim
  • Ho Sun Choi
Case Report

Abstract

Leiomyomas are very rare as retroperitoneal neoplasms. The pathogenesis of retroperitoneal leiomyomas remains obscure. A 42-year-old multiparous woman presented with a large abdominopelvic mass. At surgery, the uterus was displaced laterally to the right and the right kidney was displaced medially by three isolated large retroperitoneal masses. A total abdominal hysterectomy and complete excision of the retroperitoneal masses was performed. The histopathologic findings of the resected three tumors revealed leiomyomas without evidence of malignancy and the remaining surgical specimens were normal. This is the first case of three isolated large retroperitoneal leiomyomas without a uterine leiomyoma. The distribution of retroperitoneal leiomyomas in our case suggests that these may be of primary multifocal origin, rather than metastatic or parasitic.

Keywords

Leiomyoma Retroperitoneal tumors Myoma Soft tissue tumor 

References

  1. 1.
    Enzinger SM, Weiss SW (2007) Soft tissue tumors. Mosby, New YorkGoogle Scholar
  2. 2.
    Fasih N, Prasad Shanbhogue AK, Macdonald DB et al (2008) Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics 28(7):1931–1948. doi:10.1148/rg.287085095 PubMedCrossRefGoogle Scholar
  3. 3.
    Dursun P, Salman MC, Taskiran C, Yüce K, Ayhan A (2005) Retroperitoneal leiomyomatosis: a case report. Int J Gynecol Cancer 15(6):1222–1225. doi:10.1111/j.1525-1438.2005.00329.x PubMedCrossRefGoogle Scholar
  4. 4.
    Poliquin V, Victory R, Vilos GA (2008) Epidemiology, presentation, and management of retroperitoneal leiomyomata: systematic literature review and case report. J Minim Invasive Gynecol 15:152–160. doi:10.1016/j.jmig.2007.12.009 PubMedCrossRefGoogle Scholar
  5. 5.
    Zaitoon MM (1986) Retroperitoneal parasitic leiomyoma causing unilateral ureteral obstruction. J Urol 135:130–131PubMedGoogle Scholar
  6. 6.
    Stutterecker D, Umek W, Tunn R, Sulzbacher I, Kainz C (2001) Leiomyoma of the space of Retzius: a report of 2 cases. Am J Obstet Gynecol 185:248–249. doi:10.1067/mob.2001.114503 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Woo Dae Kang
    • 1
  • Seok Mo Kim
    • 1
  • Yoon Ha Kim
    • 1
  • Ho Sun Choi
    • 1
  1. 1.Department of Obstetrics and GynecologyChonnam National University Medical SchoolGwangjuKorea

Personalised recommendations