Background: Lipoleiomyomas are infrequent but presumably benign tumors. Imaging modalities may help in establishing a diagnosis. Case: A 41-year-old multiparous woman presented with anemia, dysmenorrhea, menorrhagia, and abdominal discomfort. Transvaginal ultrasound and abdominopelvic computed tomography were performed and both suggested a uterine leiomyoma with unusual features. Laparoscopic myomectomy was carried out. Results: Final histology reported findings compatible with lipoleiomyoma of the uterus. Three (3) months after the surgery, this patient recovered well and her abnormal uterine bleeding resolved. Conclusions: When symptomatic, uterine lipoleiomyomas can mimic leiomyomas. The hyperechoic appearance in the ultrasound and the fat-like density in the computed tomography scan are imaging features that can help to establish the diagnosis. (J GYNECOL SURG 29:76)
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