Leiomioma gigante del espacio de Retzius

Granados, J.F. Molina; Fernandez, J. Escribano; Castellanos, Álvaro Alegre

doi:10.1016/j.ciresp.2009.06.012

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…The space of Retzius is a part of extraperitoneal space between transversalis fascia of the abdominal wall and the parietal peritoneum. Leiomyomas in this space are extremely uncommon 5 7 8. Various theories have been postulated in the literature owing to their occurrence in this unusual location.…”

Section: Discussionmentioning

confidence: 99%

Unusual case of a leiomyoma in the space of Retzius mimicking broad ligament fibroid

Goyal

Garg

et al. 2023

BMJ Case Rep

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This case report will discuss an interesting case of a patient who presented with pain in the lower abdomen of 2-month duration. Clinical examination and imaging findings were suggestive of a broad ligament fibroid. However, intraoperatively, the mass was found to be present in the space of Retzius, which is an extremely rare location for such a pathology. The access to the tumour was very challenging. Successful surgical excision was done with the help of a multidisciplinary team involving a gynaecologist, a urologist and an anaesthetist. Histopathology reported it to be benign leiomyoma. Postoperatively, the patient made an uneventful recovery.

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Section: Discussionmentioning

confidence: 99%

Unusual case of a leiomyoma in the space of Retzius mimicking broad ligament fibroid

Goyal

Garg

et al. 2023

BMJ Case Rep

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“…In the literature so far, only few cases of leiomyomas in the Retzius space has been reported. [11][12][13][14] Tumours in the space of Retzius are infrequent in females, mostly having benign histology. Aggressive cancers in the space of Retzius mostly arise from adjacent tissue (vulva, urachal remnant).…”

Section: Discussionmentioning

confidence: 99%

Leiomyoma in the space of Retzius: a rare location

Shweta

Anjum

Mohsin

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Extrauterine locations of leiomyomas are extremely rare clinical conditions as in the case of space of Retzius. Space of Retzius is a small anatomical compartment located posterior to the pubic symphysis and anterior to the urinary bladder. Here authors report a very unique case of 22-year-old woman presented to the study hospital with complaints of inability to conceive and difficulty in urination. Clinical examination and imaging of pelvis suggest leiomyoma of uterus located between lower part of anterior uterine wall and bladder. An attempt to remove the tumour laparoscopically was taken but later it was converted into open laparotomy due to unusual location of leiomyoma. Histopathology revealed the tumour to be a leiomyoma.

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“…Reisenauer et al [6] reported a case of leiomyoma in a woman with voiding difficulties; Granados et al [7] described a giant leiomyoma arising from the space of Retzius that compressed the bladder extending to the anterior abdominal wall; finally, Stutterecker et al [8] report 2 women with a leiomyoma in the pubovesical space in whom the voiding symptoms reversed after surgery.…”

Section: Discussionmentioning

confidence: 99%

Giant Leiomyoma of the Retzius Space: A Case Report

Pepe

Rapisarda

et al. 2013

Case Reports in Obstetrics and Gynecology

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Extrauterine leiomyoma is a very rare clinical condition; we report a case of leiomyoma of the Retzius space in a 49-year-old women who suffered for two years from bladder voiding symptoms characterized by dysuria, feeling of incomplete emptying, and pelvic pain. Clinical evaluation and abdominal and transvaginal ultrasound suggested the presence of a voluminous (about 10 cm in diameter) fibromyoma of the anterior uterus surface. The urodynamic evaluation demonstrated the presence of bladder outlet obstruction (voiding pressure greater than 20 cm H2O and maximum flow rate less than 12 mL/s) with a postvoiding urine residual equal to 80 mL; moreover, the presence of cystocele and urethral stricture was ruled out performing clinical evaluation, cystography, and cystourethroscopy. The patient underwent laparotomy to remove the uterine fibromyoma. Intraoperatively, a voluminous soft mass arising from the Retzius space was found; it was firmly adhered to the uterus with obliteration of vesicouterine pouch owing to severe adhesion to the anterior surface of uterus. The tumour was isolated, enucleated from the prevesical space, and removed; moreover, the patient became asymptomatic after surgery. In conclusion, leiomyoma of the Retzius space is a very rare benign tumour that should be considered in the presence of severe bladder voiding symptoms.

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Leiomioma gigante del espacio de Retzius

Cited by 5 publications

References 4 publications

Unusual case of a leiomyoma in the space of Retzius mimicking broad ligament fibroid

Unusual case of a leiomyoma in the space of Retzius mimicking broad ligament fibroid

Leiomyoma in the space of Retzius: a rare location

Giant Leiomyoma of the Retzius Space: A Case Report

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