Yaşam Kemal AKPAK, İSMET GÜN, Nuri KAYA, Vedat ATAY

Nadir görülen bir leiyomyom vakası: Retroperitoneal leiyomyom

Primer retroperitoneal leiyomyom, jinekoloji pratiğinde nadir izlenen ve alışılmadık ayırıcı tanılardan biridir. Retroperitoneal leiyomyomanın patogenezi hala belirsizliğini sürdürmektedir. Vakamızdaki 49 yaşındaki nulligravid bayan hasta noktüri, alt batın ağrısı ve büyük bir abdominopelvik kitle şikayeti ile hastanemize başvurdu. Transabdominal ultrasonografi, kontrastlı bilgisayar tomografisi ve manyetik rezonans görüntülemeyi de içeren tanısal girişimler sonucunda hastada 15 cmlik homojen ve çoklu septasyon gösteren solid pelvik kitle saptandı. Retroperitoneal leioyomyoma ön tanısı tümör eksizyonu ve histopatolojik inceleme sonucunda doğrulandı.

A rare case of leiomyoma: Retroperitoneal leiomyoma

Primary retroperitoneal leiomyoma is a rare and unusual differential diagnosis in the gynecological practice. The pathogenesis of retroperitoneal leiomyoma remains obscure. A 49-year-old nulligravida woman admitted to our hospital with complaints of nocturia, lower abdominal pain and a large abdominopelvic mass. The diagnostic workup included transabdominal ultrasonography, contrast computerized tomography and magnetic resonance imaging that revealed a 15-cm homogeneous pelvic mass with multiple septations. Retroperitoneal leiomyoma was suspected on imaging studies and was confirmed by tumor excision and histopathological examination.

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