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Uterine rupture during pregnancies following laparoscopic myomectomy is rare following single-layer myometrial closure.

Angiomyomas of the uterus are uncommon tumors that apparently arise from the smooth muscles of blood vessels. We describe here an unusually large angiomyoma of the uterus in a 45-year-old woman who presented with an abdominal lump. An exploratory laparotomy was followed by a pan-hysterectomy. The dissected section of the uterus showed a huge fleshy mass measuring 20 cm with areas of hemorrhage. Histopathological examination showed many dilated vascular spaces amidst smooth muscle bundles, which is characteristic of cavernous angiomyoma of the uterus.

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