Abstract

Benzina Intissar*, Talib Sarah, Edahri Yassine, Amina Lakhdar and Kharbach Aicha

ABSTRACT

Introduction: Primary ovarian leiomyoma is a rare benign tumor of the ovary seen in women between 20 and 65 years old. It is usually diagnosed incidentally but their most clinical manifestations are abdominal pain and palpable mass, and it is mostly misdiagnosed as malignant tumor. Case: A 40-years-old female patient with history of 5 pregnancies, 2 parities, 3 abortions, pancreatic cancer in her father, presented chronic pelvic pain. Transvaginal ultrasonography found a right adnexial mass. She underwent a laparotomy which revealed un ascites. Unilateral ovariectomy was performed. Pathological examination revealed an ovarian leiomyoma. There was no recurrence after 6 months’ followup. Conclusion: This rare tumor of the ovary should be considered in the differential diagnosis of solid ovarian masses. An immunohistochemical analysis may be useful for definitive diagnosis.