Abstract:

Ovarian leiomyoma is a relatively rare benign ovarian tumor, typically presenting unilaterally, with a usual small tumor diameter, is prone to misdiagnosis before surgery. Surgical treatment is the key method for definite diagnosis and treatment of the disease, and postoperative pathological examination can confirm the diagnosis. This paper reports a rare case of ovarian leiomyoma. The patient presented with abdominal pain, nausea and vomiting. Imaging examinations indicated the presence of a giant pelvic mass. The patient was misdiagnosed as having an ovarian malignant tumor before surgery, so a laparotomy was performed. Bilateral ovarian masses were removed during the operation. Postoperative pathology and immunohistochemistry examinations confirmed the diagnosis of ovarian leiomyoma. The patient′s symptoms were relieved after surgery, and she was cured and discharged from the hospital. There was no recurrence during a 6-month follow-up. By summarizing and analyzing the clinical manifestations, imaging features, diagnosis and treatment process of this case, the aim is to improve the understanding of the disease among clinicians.

Key words: Ovarian neoplasms, Muscle, smooth, vascular, Diagnosis, Therapy, Case reports, Ovarian leiomyoma