A case of cystic uterine fibroid removed laparoscopically

Abstract

　We report a case of laparoscopic removal of a cystic uterine fibroid in a 42-year-old woman (G3P3). Transvaginal ultrasonography revealed a giant cystic tumor in the pelvis. The ovaries were unremarkable bilaterally; therefore, we suspected a tubal or peritoneal tumor and performed laparoscopic surgery. Intraoperatively, we observed a large cystic tumor continuous with the anterior uterine wall, with normal bilateral adnexa. We performed cystectomy, and the patient was diagnosed with cystic leiomyoma and has shown no recurrence postoperatively. Cystic uterine fibroids are rare and may mimic uterine adnexal tumors. Laparoscopic surgery as a diagnostic treatment was considered to be useful from the viewpoint of curability and minimal invasiveness.