A case of lipoleiomyoma preoperatively diagnosed using CT and MRI and successfully treated using laparoscopic surgery

Abstract

  Uterine lipoleiomyoma is a rare, benign neoplasm that is composed of smooth muscle tissue and mature adipocytes. We report a case of lipoleiomyoma, which was diagnosed using sonography, CT, and MRI, and was treated laparoscopically. A 75-year-old postmenopausal woman developed a growing mass in her uterus, which was visualized using hyper-echoic sonography. The mass exhibited fat attenuation on CT, hyper-intensity on T1 weighted images, and low signal intensity on fat saturated MRI. To ensure a definitive diagnosis and to prevent future symptom development, we successfully performed a total laparoscopic hysterectomy. We confirmed our diagnosis through histological analysis.