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Cotyledonoid Leiomyoma in Pregnancy

Mathew, M MD, MRCOG1; Gowri, V MRCOG1; Al Hamdani, A MRCP2; Machado, L MD, MRCOG1; Rao, K MD1; Shabnam, S MD1

doi: 10.1097/01.AOG.0000222359.34860.91
Case Reports
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BACKGROUND: Benign smooth-muscle tumors (leiomyomata) are the most frequent tumors found in the female genital tract. They are easy to diagnose in pregnancy and usually managed conservatively. Some variant forms with unusual infiltrative growth pattern have been known, but they are rare in pregnancy. The variant forms pose diagnostic and management difficulties.

CASE: An unusual type of leiomyoma (cotyledonoid), adhering to the bowels and occupying the whole left broad ligament, was excised completely at 14 weeks of gestation, and the pregnancy continued to term.

CONCLUSION: Familiarity with benign uterine smooth-muscle tumors with unusual growth patterns by gynecologists and pathologists is essential in avoiding over-treatment.

A rare type of leiomyoma was excised in a pregnant woman, and the pregnancy progressed to term.

From the 1Department of Obstetrics and Gynecology and 2Department of Pathology, Sultan Qaboos University, Oman.

Corresponding author: Dr. Vaidyanathan Gowri, P.O. Box 35, College of Medicine, OBST GYNE, Code 123, SQU, Oman; e-mail: gowrie61@hotmail.com.

© 2007 The American College of Obstetricians and Gynecologists