Abstract

The most common benign uterine tumour is Leiomyoma. It usually present as a solid firm and rubbery tumour. Rare presentations are cystic and myxoid degenerations seen in giant tumours. Here is a case report of a large leiomyoma arising from posterior wall of uterus. The patient reported to hospital with bloating of abdomen and incomplete evacuation of bladder. Ultrasound showed a thickened endometrium of 12 mm along with the lesion - hence a hysteroscopy and biopsy was scheduled. Biopsy showed secretory changes with no malignancy. Abdominal total hysterectomy with bilateral salpingo-oophorectomy was done after ureteric stenting. The mass weighing 1.4 kg was wedged in the pelvis. Histopathological report-Uterine Leiomyoma with myxoid degeneration. Myxoid degeneration is a rare type of degeneration in fibroids, only diagnosed on histopathology. Frozen Section ruled out malignancy. Pressure symptoms like hydro ureter and mild hydronephrosis was due to the tumour pressing on left side as it was wedged the pelvis.

Keywords: Leiomyoma; Myxoid; Uterus

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