Ovarian leiomyoma with torsion: a case report

Bhageerathy, Pallipuram Seshadrinathan; Sebastian, Ajit; Thomas, Dhanya Susan; Gupta, Mayank; Peedicayil, Abraham

doi:10.18203/2320-1770.ijrcog20164678

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2019

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“…When the tumor is large, such as over 10 cm, some patients present with abdominal pain and discomfort [5], [8]. Torsion could also be a complication, since an OL with the longest diameter of 14 cm was twisted [9]. Although the established management of twisted primary OL has not been reported, the tumor should be extracted, as in torsion of other types of ovarian tumors [10], [11].…”

Section: Discussionmentioning

confidence: 99%

Primary ovarian leiomyoma with predominant cystic change

Asada

Yamada

Kumano

2019

Radiology Case Reports

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Ovarian leiomyoma is a rare benign tumor, seen mostly in women 20-65 years old. The case of a 51-year-old woman with a large tumor in the pelvic cavity is reported. The dominant feature of the tumor was its cystic component, but an irregular, solid component was recognized along the dorsal margin of the tumor. The latter area showed signal intensity as low as muscle on T2-weighted images and significant contrast enhancement; however, it did not show restricted diffusion, which implied that it was benign. The large tumor was resected because malignancy could not be ruled out, and it was pathologically diagnosed as ovarian leiomyoma with predominant necrosis. When a low-intensity component without malignant features is seen on magnetic resonance imaging, leiomyoma should be included in the differential diagnosis despite its rare occurrence in the ovary.

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