2026-10-19T01:10:04Zhttps://ebyu-rdlopen.rawdatalibrary.net/oai/requestoai:ebyu-rdlopen.rawdatalibrary.net:ebyu/154742026-10-18T20:30:19Zopenairedrivercom_ebyu_10000col_ebyu_10001A rare case of a giant cystic leiomyoma presenting as a retroperitoneal massNaykı, ÜmitNaykı, CenkUluğ, PaşaYılmaz, IsmayilCetin, ZelihaYıldırım, YusufCystic degenerationGiant leimyomaRetroperitoneal massUterine leiomyomaabdominal distensionabdominal hysterectomyabdominal radiographyadultArticleblood transfusionbroad ligamentcase reportclinical featurecomputer assisted tomographydifferential diagnosisdisease durationechographyfatiguefemalegiant retroperitoneal uterine leiomyomahistopathologyhumanhuman tissueimmunohistochemistryintraoperative periodlaboratory testlaparotomymiddle agedmultiparapelvis radiographyBackground: Giant retroperitoneal uterine leiomyomas are uncommon. Degenerative changes of a leiomyoma may lead to unusual presentation resulting in misdiagnosis preoperatively. The final diagnosis can be made either intraoperatively or histologically. Case: We report a 45-year-old multiparous women presented with abdominal distension and fatigue for six months. Abdominopelvic Sonography and computed tomography showed a large cystic mass that filled the pelvis and abdomen. With the preoperative diagnosis of a malignant tumor, a laparotomy was planned. Intraoperatively, a cystic mass originated from the uterus near the left side of the broad ligament extending to the retroperitoneal space was observed. Total hysterectomy and bilateral salphingo-oopherectomy was administered. The histology revealed a leiomyoma with cystic degeneration. Conclusion: Retroperitoneal leiomyomas should be kept in mind in the diferrential diagnosis of a giant cystic mass in abdomen. © 2014, Research and Clinical Center for Infertitlity. All rights reserved.Research and Clinical Center for Infertitlity2014Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/154741680-6433enIranian Journal of Reproductive Medicineinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/15474