Giant pelvic retroperitoneal leiomyoma arising from the rectal wall.

Journal Article (Journal Article)

BACKGROUND: Pelvic retroperitoneal leiomyomas arising from the rectal wall are rare. We present a case of a giant retroperitoneal leiomyoma mimicking bilateral solid adnexal masses in a postmenopausal woman. CASE: A 54-year-old postmenopausal woman presented with a large abdominopelvic mass. At surgery, the uterus was displaced anteriorly by a large retroperitoneal mass. The rectosigmoid colon was noted to course through the retroperitoneal mass. The patient underwent complete excision of the retroperitoneal mass along with a rectosigmoid resection of the involved colon with primary reanastomosis. Histopathology showed a leiomyoma arising from the muscularis propria of the rectum wall. CONCLUSION: Retroperitoneal masses that extend into the pelvis may mimic adnexal masses and, therefore, represent a rare finding at gynecologic surgery.

Full Text

Duke Authors

Cited Authors

  • Sayer, RA; Amundsen, CL

Published Date

  • May 2003

Published In

Volume / Issue

  • 101 / 5 Pt 2

Start / End Page

  • 1132 - 1134

PubMed ID

  • 12738127

International Standard Serial Number (ISSN)

  • 0029-7844

Digital Object Identifier (DOI)

  • 10.1016/s0029-7844(03)00066-8


  • eng

Conference Location

  • United States