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Background <p>Retroperitoneal leiomyomas are rare, presenting diagnostic challenges. This report describes a case of a rapidly growing retroperitoneal leiomyoma mimicking an adrenal tumor,&#xa0;along with the literature review.</p> Case Presentation <p>A 47-year-old Caucasian woman presented with an incidentally discovered adrenal mass and suspected omental metastasis. Imaging revealed a 67 × 72 × 90&#xa0;mm adrenal mass and a 15&#xa0;mm omental lesion. Laparoscopic adrenalectomy and resection of the&#xa0;second tumor in the&#xa0;omentum were performed.&#xa0;Pathological examination revealed a duplex benign leiomyoma. The clinical course was uneventful, and the patient was discharged on postoperative day 3 without any symptoms.</p> Conclusion <p>This case highlights the diagnostic challenges of retroperitoneal leiomyomas, particularly in the setting of a rapidly growing mass. The patient’s history of uterine leiomyomas raises the possibility of leiomyomatosis.</p>

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Laparoscopic Resection of Duplex Leiomyoma Mimicking Adrenal Tumor with Metastasis into Omentum: A Case Report and Literature Review

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月17日

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  • Dusan Lesko,
  • Marek Soltes,
  • Jana Katuchova,
  • Peter Bohus

摘要

Background

Retroperitoneal leiomyomas are rare, presenting diagnostic challenges. This report describes a case of a rapidly growing retroperitoneal leiomyoma mimicking an adrenal tumor, along with the literature review.

Case Presentation

A 47-year-old Caucasian woman presented with an incidentally discovered adrenal mass and suspected omental metastasis. Imaging revealed a 67 × 72 × 90 mm adrenal mass and a 15 mm omental lesion. Laparoscopic adrenalectomy and resection of the second tumor in the omentum were performed. Pathological examination revealed a duplex benign leiomyoma. The clinical course was uneventful, and the patient was discharged on postoperative day 3 without any symptoms.

Conclusion

This case highlights the diagnostic challenges of retroperitoneal leiomyomas, particularly in the setting of a rapidly growing mass. The patient’s history of uterine leiomyomas raises the possibility of leiomyomatosis.