Abstract

Extra-peritoneal leiomyoma is a rare condition with the recognised etiologic factor being direct seeding of the site by a prior uterine surgery with a right metabolic environment. We report a rare case of abdominal wall leiomyoma developing in a fertile woman with no known predisposing factor and highlight the common approach to establish the diagnosis so as to deliver appropriate treatment to the patient.

Highlights

  • Leiomyoma is the commonest benign tumor of the reproductive tract found in 20% of women in the reproductive age

  • Abdominal computed tomography (CT) revealed a well encapsulated, 5.3X7.0 X 10.5 cm heterogeneously enhancing soft tissue mass arising from left external oblique muscle at the inguinal region

  • The uterus is a common site of development of leiomyoma in a female while extra-uterine leiomyomas are known to develop in the round ligament, utero-ovarian ligament, vagina and broad ligament [1]

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Summary

Introduction

Leiomyoma is the commonest benign tumor of the reproductive tract found in 20% of women in the reproductive age. Rhabdomyoma is the expected abdominal wall tumor considering its composition being of skeletal muscle and loose or aponeurotic connective tissue [1]. 1 Reconstructive Science Unit, Hospital University Sains Malaysia and School of Medical Sciences, University Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia Address of Correspondence: Muhammad Izzuddin Hamzan Reconstructive Science Unit, Hospital University Sains Malaysia and School of Medical Sciences, University Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia drmizzud@gmail.com

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