Primary anterior abdominal wall leiomyoma in 38 year old parous women–a rare case report

Dr.Vanita Kumar; Dr.Dharm Chand Kothari; Dr. Harsh Kumar Baid; Dr. V. K. Anand

Volume : III, Issue : XII, December - 2014

Primary anterior abdominal wall leiomyoma in 38 year old parous women–a rare case report

Dr. Vanita Kumar, Dr. Dharm Chand Kothari, Dr. Harsh Kumar Baid, Dr. V. K. Anand

Abstract :

Extrauterineleiomyomas are rarer, and they present a greater diagnostic challenge. An anterior abdominal wall fioid is uncommon and could be a cause of pain and discomfort. Primary abdominal wall fioids are rare in the literature without previous surgeries for myomectomies or the presence of uterine fioids. We present a case of a 39-year-old parous lady with no previous abdominal or gynecological surgeries presenting with a pelvic mass of 1 year duration. The operative findings revealed a large mass in the parietal layers of the anterior abdominal wall attached to the right rectus sheath with no intra-abdominal attachments. Histopathology revealed features suggestive of a leiomyoma. We conclude that rectus sheath leiomyomas do exist and can present in a woman with no previous surgeries and hence should be included in the differential diagnosis in mind while diagnosing an anterior abdominal wall mass. Conclusion: Abdominal wall fioid is a good differential diagnosis to be considered in any woman of reproductive age with a pelvic mass.