Case of an atypical located leiomyoma arising from rectus sheath

Abstract

Fibroids or leiomyomas are the commonest benign tumor of the female reproductive tract, occurring most commonly in the uterus. Abdominal wall fibroids are uncommon; we present a rare case of an isolated leiomyoma of the anterior abdominal wall in a patient with no previous history of any abdominal surgeries. We present a case of a 54-year-old female. She was first admitted to the general surgery clinic with a complaint of vague abdominal pain. Abdominal ultrasound and computed tomography revealed the mass, measuring 10x9x7cm, located at the left adnexal area, reported as complex ovarian cyst. She had no history of an abdominal surgery. Laparoscopic surgery was planned. We located the mass, with the help of abdominal palpation and laparoscopic observation at the same time that located anterior to the abdominal parietal peritoneum, beneath the rectus muscle. We extracted the mass, which was capsulated, fine bordered, tender, slightly mobile; with sharp and blunt dissection without any complication. Leiomyomas are the commonest benign tumor of the reproductive tract and found in 20-40% of women of reproductive age. Abdominal wall fibroids are really rare, thought to follow seeding following surgical resection of uterine fibroids. There are very few reported cases of isolated abdominal wall fibroids in the literature, without having previous abdominal surgeries or presence of uterine fibroids as reported in our case.