Year 2018, Volume 2 , Issue 3, Pages 408 - 409 2018-09-01

Case of an atypical located leiomyoma arising from rectus sheath
Rektus kılıfından kaynaklanan atipik yerleşimli leiomyom olgusu

Görker SEL [1]


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.

Fibroidler veya leiomyomlar, en sık uterusta izlenen, dişi üreme sisteminin en yaygın benign tümörüdür. Abdominal duvar fibroidleri nadirdir. Bu olgu sunumunda, herhangi bir abdominal cerrahi öyküsü olmayan bir hastada anterior abdominal duvarda izole bir leiomiyom vakasını sunuyoruz. 54 yaşında bayan olgu, ilk önce genel cerrahi kliniğine müphem karın ağrısı şikayeti ile başvuran hastanın abdominal ultrasonografi ve bilgisayarlı tomografi ile sol adneksiyal alanda 10x9x7 cm boyutlarında kitle imajı veren over kisti saptanmıştır. Geçirilmiş batın ameliyatı öyküsü yoktu. Laparoskopik cerrahi planlandı. Abdominal paryetal peritonun ön tarafında, rektus kasının altında yerleşen; abdominal palpasyon ve laparoskopik gözlem yardımıyla kitle lokalize edildi. Kapsüllü, düzgün sınırlı, yumuşak kıvamda, kısmen mobil kitle; herhangi bir komplikasyon olmadan keskin ve künt diseksiyon ile çıkartıldı. Leiomyomlar üreme sisteminin en sık görülen benign tümörüdür ve üreme çağındaki kadınların % 20-40'ında bulunur. Abdominal duvar fibroidleri nadirdir ve uterin fibroidlerinin cerrahi rezeksiyonunu takiben, seeding, oluştuğu düşünülmektedir. Literatürde; bizim olgumuzdaki gibi daha önce batın operasyonu geçirmediği halde batın ön duvarında izole fibroid saptanması, az rastlanan bir durumdur. 

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Primary Language en
Subjects Surgery
Journal Section Case report
Authors

Orcid: 0000-0001-8653-5687
Author: Görker SEL (Primary Author)
Institution: Zonguldak Bülent Ecevit Üniversitesi
Country: Turkey


Dates

Publication Date : September 1, 2018

Bibtex @case report { josam442268, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2018}, volume = {2}, pages = {408 - 409}, doi = {10.28982/josam.442268}, title = {Case of an atypical located leiomyoma arising from rectus sheath}, key = {cite}, author = {Sel, Görker} }
APA Sel, G . (2018). Case of an atypical located leiomyoma arising from rectus sheath . Journal of Surgery and Medicine , 2 (3) , 408-409 . DOI: 10.28982/josam.442268
MLA Sel, G . "Case of an atypical located leiomyoma arising from rectus sheath" . Journal of Surgery and Medicine 2 (2018 ): 408-409 <https://jsurgmed.com/en/pub/issue/36726/442268>
Chicago Sel, G . "Case of an atypical located leiomyoma arising from rectus sheath". Journal of Surgery and Medicine 2 (2018 ): 408-409
RIS TY - JOUR T1 - Case of an atypical located leiomyoma arising from rectus sheath AU - Görker Sel Y1 - 2018 PY - 2018 N1 - doi: 10.28982/josam.442268 DO - 10.28982/josam.442268 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 408 EP - 409 VL - 2 IS - 3 SN - -2602-2079 M3 - doi: 10.28982/josam.442268 UR - https://doi.org/10.28982/josam.442268 Y2 - 2018 ER -
EndNote %0 Journal of Surgery and Medicine Case of an atypical located leiomyoma arising from rectus sheath %A Görker Sel %T Case of an atypical located leiomyoma arising from rectus sheath %D 2018 %J Journal of Surgery and Medicine %P -2602-2079 %V 2 %N 3 %R doi: 10.28982/josam.442268 %U 10.28982/josam.442268
ISNAD Sel, Görker . "Case of an atypical located leiomyoma arising from rectus sheath". Journal of Surgery and Medicine 2 / 3 (September 2018): 408-409 . https://doi.org/10.28982/josam.442268
AMA Sel G . Case of an atypical located leiomyoma arising from rectus sheath. J Surg Med. 2018; 2(3): 408-409.
Vancouver Sel G . Case of an atypical located leiomyoma arising from rectus sheath. Journal of Surgery and Medicine. 2018; 2(3): 408-409.
IEEE G. Sel , "Case of an atypical located leiomyoma arising from rectus sheath", Journal of Surgery and Medicine, vol. 2, no. 3, pp. 408-409, Sep. 2018, doi:10.28982/josam.442268