Abstract

A CASE REPORT ON MYOMETRIAL LIPOLEIOMYOMA

Josina Joseph, Shaqeel Ahamed Shuiab, Dr. Reshma Babu*, Dr. Drishya L. and Prof. Dr. Shaiju S. Dharan

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Abstract

Myometrial lipoleiomyoma is a rare, benign uterine tumor composed of smooth muscle and mature fat tissue, often seen in women over 40. Most cases are asymptomatic and found incidentally, but larger tumors may cause pelvic pain, abnormal bleeding, or pressure symptoms. Diagnosis relies on imaging like ultrasound or MRI, which shows fatcontaining uterine masses, but definitive diagnosis is made by histopathology. Treatment is usually conservative if asymptomatic, while symptomatic or large tumors may require surgical removal. The prognosis is excellent, as the tumor is benign with no malignant potential. A 46-year-old woman with known fibroid uterus presented with constipation and urinary retention, previously requiring catheterization. She had regular menstrual cycles, was P2L2 with prior sterilization, and a history of hypothyroidism treated with thyroxine. On examination, she was stable, with a soft, non-tender abdomen and cervix pulled up and sterilized on the right. Laboratory results showed anemia, iron deficiency, and markedly elevated TSH levels. Ultrasound revealed a posterior myometrial lipoleiomyoma measuring 7.9 x 5.4 x 6.6 cm, confirmed by histopathology. She was initially managed medically, then underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Postoperatively, she was stable and discharged with antibiotics, analgesics, laxatives, vitamins, and topical mupirocin ointment.

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