Title: A Rare Case of Abdominal Lump Presenting as Ovarian Leomyoma
Authors: Dr Pawan Singh, Dr Gajanan Patil, Dr Kush Pathak, Dr Saurabh Verma
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.15
Abstract
Introduction
Leiomyoma is a benign smooth muscle tumor that most commonly affects the uterus, cervix and broad ligaments in women of reproductive age group. Primary leiomyoma of the ovary is a very rare that accounts for 0.5 to 1% of all benign ovarian tumors with only an approximate 70 cases reported in the literature.1,2,3 Ovarian leiomyomas are particularly unilateral and small, and they most commonly occur in women aged 20–65 years.4,5. The majority of these tumours are discovered incidentally, with about 80% of the cases occurring in premenopausal women. Patients are usually asymptomatic, and the tumour is most commonly diagnosed unintentionally by histological examination of ovarian tissue after an ovarian excision of solid mass.4,5. The most likely theory is that they take their origin from the smooth muscle of the ovarian ligaments where they enter the ovary or from smooth muscles of ovarian hilar blood vessels, smooth muscle cells or multipotential cells in the ovarian stroma, undifferentiated germ cells, cortical smooth muscle metaplasia, smooth muscle metaplasia of endometrial stroma, smooth muscle present in mature cystic teratomas, smooth muscle in the walls of mucinous cystic tumor and metastasizing uterine leiomyoma to the ovary. 2, 4-10. We present a case of primary ovarian leiomyoma with corpus luteal cyst in a 30 year old nulliparous female.
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