Uterine Lipoleiomyoma -A Rare case report and literature review

Lipoleiomyoma is a rare benign soft tissue tumour which was first described in 1991. They usually occur within the abdominal cavity and retroperitoneum , although it may also be found in the subcutis and muscular fascia. Lipoleiomyoma is a tumour comprised of smooth muscle cells along with diffuse and scattered lobules of adipose tissue showing whorling at places. These tumours are seen in uterus as intramural growths. Most cases of lipoleiomyomas cannot be distinguished clinically from leiomyoma and to a large extent diagnosis can be made on the typical gross appearance & histopatholological examination of the tumour. Incidence of this neoplasm is estimated to be 0.03-0.2%. The majority of patients do not report any symptoms. Almost all of the cases of  lipoleiomyoma have been reported in postmenopausal women.We report a case of uterine lipoleiomyoma in a 73 year old woman who presented with abdominal pain and postmenopausal spotting. A preoperative diagnosis of  leiomyoma was made based on ultrasonography findings.