Bizarre presentation of bilateral ovarian leiomyoma: a case report

Abstract

Primary leiomyoma of the ovary is rarely described in literature. It accounts for 0.5-1% of all benign ovarian tumours. Bilateral ovarian leiomyoma are rare and only few cases have been described. In this report, we describe a case of 29-year-old nulliparous, Tanzanian lady presented with one-year history of abdominal swelling and secondary amenorrhea. Examination revealed a palpable, suprapubic mass, and a pelvic ultrasound showed features of ovarian tumour. An explorative laparotomy was performed to confirm the diagnosis. A bilateral salpingo-oophrectomy and hysterectomy was performed for huge bilateral ovarian tumours. Histopathological examination confirmed ovarian leiomyoma. Challenges remain in the management of bilateral primary ovarian tumours, especially for young and nulliparous women. Pre-laparotomy diagnostic measures are important so as to know the type of the tumour you are dealing with and plan the appropriate management.

Case Report: Primary Ovarian Leiomyoma: A Clinical Analysis of Case Series and Literature Review

“…As summarized in this review, total hysterectomy and bilateral salpingo-oophorectomy are performed usually in middle-aged and older patients, and this surgical procedure has been performed in only one patient aged 29 (15). Unilateral salpingooophorectomy or oophorectomy is a better choice for all ages of patients with unilateral leiomyoma, while bilateral oophorectomy has often been required for those with bilateral leiomyoma as reported earlier (3).…”

“…Surgical procedures for cases of ovarian leiomyoma are shown in Table 6. In cases where patients aged less than 35, 10 had unilateral oophorectomy or salpingo-oophorectomy and 11 had mass excision, while one aged 17 had bilateral salpingo-oophorectomy (3) and another aged 29 had total hysterectomy and bilateral salpingo-oophorectomy (15). In women aged between 35 and 45 years, unilateral oophorectomy/salpingo-oophorectomy was performed in five patients, bilateral salpingo-oophorectomy in one patient, and total hysterectomy and unilateral salpingo-oophorectomy in two patients, while mass excision was performed in three patients.…”