Recurrent urinary retention secondary to a posterior uterine leiomyoma
Keywords:
epithelioid leiomyoma, urinary retention, neoplasiaAbstract
Introduction: Uterine leiomyomas are benign smooth muscle tumors and are the most common pelvic tumors among women of reproductive age. Its maximum incidence peak is in the fourth and fifth decades of life.
Objective: To describe a case of recurrent urinary retention secondary to a posterior uterine leiomyoma.
Clinical case: 42-year-old nulliparous patient with a history of recurrent urinary retention on three occasions in the last 4 months. On physical examination, the patient presented with a painful tumor measuring 8 cm in diameter in the hypogastrium. The tomography showed that it compressed and displaced the rectosigmoid and the bladder, with increased central and peripheral vascularization that showed neoformation. A total abdominal hysterectomy was performed and it was concluded as an intramural epithelioid leiomyoma.
Conclusion: This case emphasizes the importance of clinical and diagnostic correlation in those patients with recurrent urinary retention; in addition to exposing the rarity of a posterior leiomyoma that presented with urinary symptoms and with imaging signs suspicious of malignancy.
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