Case Report

Primary Ovarian Leiomyoma in Pregnant Woman: An Uncommon Tumor with an Unusual Presentation

Nihed Abdessayed, Meriem bel haj Salah, Raja Jouini, Wafa Koubaa, Ehsen ben Brahim and Achraf Chadli Debbiche
World Journal of Pathology 2017, 6:2

Abstract

Introduction

Leiomyoma is a benign mesenchymal tumor that frequently occurs in uterus but rarely happens in ovary. Primary ovarian Leiomyoma is usually small, unilateral, and concomitantly seen with uterine leiomyoma in middle-aged and postmenopausal women. It is mostly diagnosed incidentally during pelvic examination.

Case presentation

We present the case of a 32-year old woman with a large anneal mass discovered at 18 weeks of pregnancy. Clinical course was marked by abdominal pain with fever. Histological examination of the ovarian mass reveled a spindle cell tumor without atypia or mitosis. Immunohistochemical staining with antibodies against smooth muscle actin confirmed the leiomyomatous nature of the tumor.

Conclusions

Ovarian Leiomyoma occurrence during pregnancy is more challenging for clinico-pathological diagnosis and operative management.

Keywords

ovary- Leiomyoma- pregnancy.

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