Huma Mushtaq, Shahid Jamal, Azhar Mubarik, Urwa Sarwar.
Cystic leiomyoma presenting as an ovarian cyst.
Pak Armed Forces Med J Jan ;59(4):303-4.

Leiomyomas are the commonest smooth muscle tumour in the uterus. Not only do they occur at varied sites but they show multiple types of degenerative alterations such as hyalinization, myxoid, carneous (red or hemorrhagic), fatty, calcific and cystic changes [1]. Sometimes cyst may be so large that it can mimic other cystic malignancies. One such case is reported. CASE REPORT A 40 year old lady presented with lower abdominal pain, distension and vomiting off and on, for the past two years. The patient had a past history of pregnancy two years back. Her abdominopelvic ultrasound at that time revealed a large mass, either a fibroid or ovarian mass of 12.7x 8.7 cm (the location of which was not clearly identified) along with a single, alive intrauterine pregnancy (Fig. 1) About one year after an uneventful delivery, the lady got her abdominopelvic ultrasound repeated following recurrent lower abdominal pain. The ultrasound revealed a cystic lesion most likely of ovarian origin in the abdominopelvic region measuring 23.6x 21.3x 19.8 cm. Neither of the two ovaries was visualized and the uterus was normal in size. The lady got admitted for the removal of this mass. Here on abdominal examination by the gynaecologist, abdominal fullness was felt and fundal height of the cystic mass was of 40 weeks (Fig. 1).

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