Author/Authors :
Arab، Maliheh نويسنده Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , , Farzaneh، Farah نويسنده Infertility and Reproductive Health Research Center, Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Farzaneh, Farah , Ghavami، Behnaz نويسنده Department of Obstetrics and Gynecology Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran , , Mohajeri، Shiva نويسنده General Physician, Preventative Gynecology Research center
(PGRC), Imam Hossein Medical Center, Tehran, IR Iran , , Marzban Rad، Zahra نويسنده Assistant of OB and Gynecology, Imam Hossein Medical
Center, Shahid Beheshti University of Medical Sciences, Tehran, IR
Iran , , Ashori، Adeleh نويسنده Assistant of OB and Gynecology, Imam Hossein Medical
Center, Shahid Beheshti University of Medical Sciences, Tehran, IR
Iran ,
Abstract :
Uterine leiomyomas are the most common benign solid tumors of the
female pelvis. Retroperitoneal myomas are extremely rare and usually
malignant with the common location being in the pelvis. Our case
involved a woman who was suffering from dysparonia and radiculating
right pelvic pain. The pelvic examination revealed a palpable tender
mass of about 3-4 cm in size in the right adnexa near the pelvis bone.
An orthopedic consultation was in favor of the mass being of gynecologic
origin. A retroperitoneal approach on the right side revealed a 3 cm
mass in the right obturator fossa. The most common place for a myoma is
in the uterus. However, other sites have also been presented as case
reports. Most smooth muscle tumors originating in the retroperitoneum
are malignant. Retroperitoneal sites for myomas are mostly in the pelvis
(73.1%). The frequent symptoms of retroperitoneal masses, including
myoma, are discomfort, fatigue, weight loss, and radiating pain. The
common sonographic findings in these patients is a pelvic solid mass
with heterogeneous features. Surgical excision is the main treatment of
retroperitoneal smooth muscle tumors.
