Ovarian leiomyoma as a potential cause of compromised fertility

Koo, Yu-Jin; Cho, Yeon-Jean; Kim, Jiyoung; Lee, Jieun; Kim, Miseon; Kim, Joo-Myung; Han, Ho-Won; Joo, Kwan-Young

doi:10.1016/j.fertnstert.2010.09.007

Cited by 17 publications

(20 citation statements)

References 16 publications

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“…10 This is the first reported case of a true ectopic ovarian leiomyoma to the current authors' knowledge. The extra ovary was truly ectopic, as it was laparoscopically confirmed to be separate from both adnexal structures/ovaries, the broad ligament, and the corpus uteri/cervix uteri.…”

Section: Ectopic Ovarian Leiomyoma 223mentioning

confidence: 74%

Ectopic Ovarian Leiomyoma Presenting as Chronic Pelvic Pain

Mittal

Sripathy

Mussunoor

et al. 2013

Journal of Gynecologic Surgery

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Background: The presence of an ''ectopic ovary'' is rare, and the diagnosis can be difficult to establish preoperatively. Histologic confirmation is usually necessary. There has not been any case reported so far of a true ectopic ovarian leiomyoma as a cause of chronic pelvic pain. Such a case is reported in this article. Case: A 32-year-old woman presented with an incidental finding of a solid pelvic mass that had been diagnosed with a ultrasound (US) scan during a miscarriage that she had. During follow-up, she reported having symptoms of pelvic pain and deep dyspareunia. A repeat US scan showed no change in the mass that appeared to be arising from, or abutting, the posterior wall of her uterus, suggestive of a fibroid growth. Standard serum tumor markers were all normal. Magnetic resonance imaging (MRI) initially showed on only a hemorrhagic ovarian cyst. However, an initial diagnostic laparoscopy revealed a normal left ovary with a hemorrhagic cyst and a normal right ovary. However, there was also a separate solid, fibroidlike mass in her recto-uterine pouch of Douglas. Because her symptoms were persistent, a second laparoscopy was performed 10 months later, and the fibroid mass was resected. Surprisingly, the histology showed features of an ovarian leiomyoma that was considered to be ectopic in origin, as it was separate from both ovaries and was not attached to any of the adnexal structures or uterus. Results: The patient had an uneventful recovery and was completely symptomfree on follow-up. Conclusions: To the current authors' knowledge, this is the first case of a true ectopic ovarian leiomyoma reported. Successful management was achieved with minimally invasive surgery. ( J GYNECOL SURG 29:222)

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Section: Ectopic Ovarian Leiomyoma 223mentioning

confidence: 74%

Ectopic Ovarian Leiomyoma Presenting as Chronic Pelvic Pain

Mittal

Sripathy

Mussunoor

et al. 2013

Journal of Gynecologic Surgery

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“…6,7 Ovarian leiomyoma often misdiagnoses preoperatively as pedunculated uterine myoma, ovarian fibroma or even ovarian endometrioma. 8 Macroscopic and microscopic manifestations of ovarian leiomyoma are very caharacteristics, but because of its rarity, several other tumors should include in the differential diagnosis. The major differential diagnostic considerations for ovarian leiomyoma is leiomyosarcoma and sex cord stromal tumors, such as fibroma, thecoma, sclerosing stromal tumor.…”

Section: Discussionmentioning

confidence: 99%

Primary ovarian leiomyoma: a diagnostic dilemma

Prajapati

Meerabai

Jayalakshmi

2018

Int J Reprod Contracept Obstet Gynecol

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Among all benign primary ovarian smooth muscle tumors, ovarian leiomyoma is uncommon accounting for .5-1% of all tumors. most of these are unilateral small in size and generally occur in premenopausal women. this paper presents a case report of primary ovarian leiomyoma i.e. 29 years old women with complaints of abdominal pain. the right ovarian mass was histologically diagnosed as ovarian leiomyoma. unlike other smooth muscle tumors of uterine origin, there are no definite histological criteria to categorize smooth muscle tumor of ovary.

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“…Its association with uterine leiomyoma may suggest that they share the same mechanisms of development. [4][5][6][7][8][9][10] . This theory is explained by the rapid growth of such tumors during pregnancy and their positivity for estrogen and/or progesterone receptors.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Abdominal Lump Presenting as Ovarian Leomyoma

Singh¹

2017

jmscr

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Ovarian leiomyoma as a potential cause of compromised fertility

Cited by 17 publications

References 16 publications

Ectopic Ovarian Leiomyoma Presenting as Chronic Pelvic Pain

Ectopic Ovarian Leiomyoma Presenting as Chronic Pelvic Pain

Primary ovarian leiomyoma: a diagnostic dilemma

A Rare Case of Abdominal Lump Presenting as Ovarian Leomyoma

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