Abstract
Background:
A lipoleiomyoma is a rare benign tumor that is comprised of both smooth-muscle and adipose tissue.
Case:
A 26-year-old nulligravida presented with pelvic pain, bloating, constipation, urinary urgency, and weight gain. Imaging revealed a 16-cm pelvic mass with differentials including lipoma, lipoleiomyoma, liposarcoma, and teratoma. Hoping to avoid a midline laparotomy, this patient was referred to a tertiary-care center where diagnostic laparoscopy identified this mass as ovarian in nature. She underwent a laparoscopic salpingo-oophorectomy, with specimen removal through an U.S. Food and Drug Administration–approved tissue-extraction bag. The lesion's pathology was consistent with a lipoleiomyoma.
Results:
This patient was able to be discharged to go home the day of the procedure and recovered without any issues. She was able to maintain fertility.
Conclusions:
Despite a differential including malignancy, minimally invasive surgical techniques can be utilized safely, especially in woman requesting fertility preservation.
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