A rare case of primary ovarian leiomyoma with atypical Meigs' syndrome.

Choi, Seung Yeon; Park, Jin Sun; Lee, Jeong Won; Kim, Byoung Gie; Bae, Duk Soo

doi:2012.55.4.285

Obstet Gynecol Sci > Volume 55(4); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(4):285-289.
DOI: https://doi.org/10.5468/KJOG.2012.55.4.285 Published online April 17, 2012.

A rare case of primary ovarian leiomyoma with atypical Meigs' syndrome.

Seung Yeon Choi, Jin Sun Park, Jeong Won Lee, Byoung Gie Kim, Duk Soo Bae

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. garden.lee@samsung.com

Abstract

Primary ovarian leiomyoma is a rare benign ovarian tumor. Ovarian leiomyoma accompanied with atypical Meigs' syndrome is extremely rare. A 13-year-old woman had underlying primary lymphedema and visited our clinic due to associated vulvar edema. During a gynecologic examination, we detected a right ovarian tumor with large amounts of ascites on transrectal ultrasonography. The tumor size increased from 4 to 7 cm during 6 months follow-up. After laparoscopic right ovarian tumorectomy, the final pathology of the tumor was primary ovarian leiomyoma. Ovarian leiomyomas are not typically suspected before surgery due to their extreme rarity and because they are easily misdiagnosed as fibroma during frozen biopsy due to similarities between both diseases. Here we introduce the case of a primary ovarian leiomyoma accompanied with atypical Meigs' syndrome.

Key Words: Ovarian leiomyoma, Meigs syndrome, Rare diseases, Ovary