Giant Uterine Leiomyoma in a Young Woman as an Accidental Finding Due to an Ultrasound for Digestive Symptoms Caused by Acute Exacerbation of Chronic Gastritis – A Case Report

Uterine leiomyoma is the most common benign tumour encountered in female genital pathology. It originates from the level of the smooth muscle tissue, and from the morphological point of view, the tumour is well delimited, being surrounded by a pseudocapsule. We report a case of a 46-year old woman who, following a CT scan performed for epigastric abdominal pain and nausea, showed a dense bulky tumour formation, with multiple hyperdense inclusions inside and well-defined areas of necrosis, with maximum axial diameters of 133/168/249 mm (LL / AP / CC), having as a starting point most likely the uterine upper pole. A total hysterectomy is performed, with bilateral anexectomy, and the histopathological examination describes a giant subserosal leiomyofibroma of the uterus with signs of hyaline degeneration, left hydrosalpinx with strong stasis of the left tube, follicular hemorrhagic cysts of the left ovary.