RESUMO
Leiomyomas are benign, mesenchymal, monoclonal tumors that typically originate from myometrium smooth-muscle cells, although atypical sites such as the vagina, lungs, vascular structures, and retroperitoneal area have been reported. We present the case of a leiomyoma that originated from the vaginal cuff in a 70-year-old woman, 25 years after total abdominal hysterectomy and bilateral salphingo-oophorectomy.
Assuntos
Leiomioma/cirurgia , Neoplasias Vaginais/cirurgia , Idoso , Feminino , Humanos , Leiomioma/patologia , Resultado do Tratamento , Neoplasias Vaginais/patologiaRESUMO
OBJECTIVE: To report a case of an alive ectopic ovary over rectosigmoid colon serosa that was removed by laparoscopy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology. PATIENT(S): A 30-year-old nulliparous woman. INTERVENTION(S): Ultrasonography, laparoscopy, and pathologic assessment. MAIN OUTCOME MEASURE(S): Alive and functional ectopic ovarian tissue in the cul-de-sac over rectosigmoid colon serosa. RESULT(S): At pathologic assessment, an alive ectopic ovary with focal infarct areas was determined. CONCLUSION(S): The treatment should be excision of the mass. However, in asymptomatic and nulliparous women who have future fertility desire, protecting the ectopic ovary to not decrease the ovarian reserve might be a beneficial option.