Abstract
This is a rare case of Cotyledonoid Dissecting Leiomyoma (CDL) in a 50 year old lady. She was evaluated for heavy menstrual bleeding and congestive dysmenorrhea. Her ultrasonogram pelvis and MRI pelvis revealed a large cystic space occupying lesion in pelvis situated in pouch of douglas measuring 7x4 cm with peripherally arranged hemorrhagic cyst, largest measuring 3.3X2.7 cm likely to be of left ovarian origin. She was taken up for Laparoscopy proceed laparotomy which revealed normal uterus with bilateral fallopian tubes and ovaries. A 10x10 cm exophytic, fleshy, serosal, polypoidal mass originating from posterolateral wall of uterus giving an impression of malignancy was noted. Total abdominal hysterectomy with bilateral salpino-oopherectomy was done and specimen sent for histopathological examination. HPE report showed it to be CDL which was benign.
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