caa a22 4500 445364246 CHVBK 20180317142924.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10397-009-0533-z doi (NATIONALLICENCE)springer-10.1007/s10397-009-0533-z Laparoscopic management of a pelvic retroperitoneal leiomyoma—case report [Elektronische Daten] [William Kondo, Revaz Botchorishvili, Fanny Desvignes, Gérard Mage] Leiomyomas are benign tumors frequently found in the fourth and fifth decades of life. Although the uterus is the most common site of origin of leiomyomas, they can develop at any site where there is smooth muscle cell. Extrauterine leiomyomas are not common and usually their diagnostic are more challenging. In this paper, we report one case of pelvic retroperitoneal leiomyoma associated to vulvar/perineal leiomyomas. A 47-year-old female patient presented with a 6-month history of deep dyspareunia, abdominal pain, dysuria, and pain during defecation. She had a previous history of two open myomectomies, a supracervical hysterectomy associated to the exeresis of a vulvar leiomyoma, and a left salpingo-oophorectomy. On vaginal examination, there was a tender and firm mass at the vaginal vault and along the posterior vaginal wall. There was another tumor at the left vulvar/perineal region measuring around 6cm. Magnetic resonance imaging demonstrated the presence of a mass at the Douglas pouch measuring 14 × 10 × 10cm suggestive of uterine leiomyomatosis. She underwent a successful laparoscopic resection of the pelvic tumor with an operative time of 210min. The vulvar/perineal lesions were resected by vaginal approach. She presented an uneventful postoperative course and was discharged home 3days after surgery. Histopathology confirmed the diagnosis of leiomyomas. Laparoscopic approach for pelvic retroperitoneal leiomyoma is feasible. It is important to keep in mind the possibility of this entity as a differential diagnosis of retroperitoneal masses in women. Springer-Verlag, 2009 Retroperitoneal leiomyomatosis nationallicence Leiomyoma nationallicence Retroperitoneal mass nationallicence Laparoscopy nationallicence Kondo William C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut Botchorishvili Revaz C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut Desvignes Fanny C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut Mage Gérard C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut Gynecological Surgery Springer-Verlag 8/2(2011-05-01), 247-251 1613-2076 8:2<247 2011 8 10397 https://doi.org/10.1007/s10397-009-0533-z text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-009-0533-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kondo William C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut NATIONALLICENCE 700 1- Botchorishvili Revaz C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut NATIONALLICENCE 700 1- Desvignes Fanny C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut NATIONALLICENCE 700 1- Mage Gérard C.H.U. Clermont-Ferrand, Department of Gynecology and Obstetrics, Polyclinique de l'Hôtel Dieu, Clermont Ferrand, France aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/2(2011-05-01), 247-251 1613-2076 8:2<247 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer