Huge Subserosal Uterine Lipoleiomyoma – A Case Report and Literature Review.

Lipoleiomyoma is a rare benign variant of uterine leiomyoma, composed of an intimate admixture of adipocytes and mature smooth muscle cells, usually found in the uterine corpus and the tissue is easily recognizable on naked eye. Lipoleiomyoma represents 2.9% of all leiomyomas with an incidence of 0.03%–0.2%. They occur more in obese peri-menopausal and postmenopausal women. They may be asymptomatic or present with similar symptomatology as leiomyoma. Imaging plays a vital role in the diagnosis of benign pelvic tumors. Ultrasonography is usually the first line radiological imaging modality for diagnosis of female pelvic tumors but usually not specific in characterizing the tumour and may not be specific for the origin when the tumour is subserosal or pedunculated. Computed tomography (CT) and magnetic resonance imaging (MRI) are more specific in characterizing the fatty component and the uterine origin of the tumour. We present a case report of a solitary huge intramural uterine lipoleiomyoma manage successfully without complication.