Bladder leiomyoma: Rare presentation as a pelvic mass

Abstract

Bladder leiomyomas are rare tumors. They very rarely present as a pelvic mass. We present an interesting case where a giant bladder leiomyoma was mistaken to be an ovarian mass. A bladder preserving surgery was performed. The literature is reviewed and the management is discussed.

Transvaginal Resection of a Bladder Leiomyoma Misdiagnosed with a Vaginal Mass: A Case Report and Literature Review

“…A hysterectomized woman, presented with hematuria, abdominal pain, and palpable pelvic mass, with a normal cystoscopy, was suspected of an ovarian tumor, finally demonstrating a multiple bladder leiomyoma [ 18 ]. Banerjee et al presented a case where a giant bladder leiomyoma measuring 21 × 17 × 16 cm was mistaken to be an ovarian mass [ 19 ]. Bladder leiomyoma can also be responsible for acquired dysmenorrhoea in some women, leading to gynecological assessment [ 20 ].…”

Open Surgery Following Endourological Treatment in Leiomyoma of the Bladder: Case Report

“…Irritative symptoms are frequent for the intramural type, while complaints related to hydronephrosis or bladder outlet obstructions may be observed 49% of the time for extramural ones. [10][11][12][13][14] Cystoscopy findings are important for the diagnosis of bladder leiomyomas. Mucosa looks completely normal, and submucosal mass indents towards bladder lumen.…”