A case report of primary ovarian leiomyoma

Srikala Doddareddy, Nagashree Undinti, Vishnu Vandana G.


Primary ovarian Leimyoma is a rare benign mesenchymal tumour usually arising from smooth muscle of walls of ovarian blood vessels. It’s mostly discovered incidentally. Here we report a case in which a 24-year-old unmarried woman presented with pain and discomfort in lower abdomen since 10 days. On further evaluation through imaging and blood works, we proceeded with surgical management. Immunohistochemistry confirmed the final diagnosis of ovarian leiomyoma. However, it’s important to keep this entity as a differential diagnosis for solid ovarian tumors.


Abdominal mass, Ovarian leiomyoma, Pain abdomen

Full Text:



Agrawal R, Kumar M, Agrawal L, Agrawal KK. A huge primary ovarian leiomyoma with degenerative changes-an unusual. Journal of clinical and diagnostic research: J Clinic Diagnos Resea. 2013;7(6):1152.

Blue NR, Felix JC, Jaque J. Primary ovarian leiomyoma in a premenarchal adolescent: first reported case. J Pediatr Adolesc Gynecol. 2014;27(4):e87-8.

Doss BJ, Wanek SM, Jacques SM, Qureshi F, Ramirez NC, Lawrence WD. Ovarian smooth muscle metaplasia: an uncommon and possibly underrecognized entity. Int J Gynecolo Pathol. 1999;18(1):58-62.

Koo YJ, Cho YJ, Kim JY, Lee JE, Kim ML, Kim JM, et al. Ovarian leiomyoma as a potential cause of compromised fertility. Fertili Steril. 2011;95(3):1120-1.

Kawano Y, Takai N, Shimano M, Nasu K, Miyakawa I. Magnetic resonance imaging findings in leiomyoma of the ovary: a case report. Archiv Gynecolo Obstet. 2006;273(5):298-300.

Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiograp. 2008;28(7):1931-48.