Abdominopelvic leiomyoma with large ascites: A case report and review of the literature

Figure 1 Enhanced computed tomography of the abdomen/pelvis showing a large preperitoneal mass joined to the uterus.

Figure 2 Computed tomography angiography showing an abundant blood supply surrounding the mass. CIA: Common iliac artery; EIA: External iliac artery; GDA: Gastroduodenal artery; IIA: Internal iliac artery; IMA: Inferior mesenteric artery; SA: Splenic artery; SMA: Superior mesenteric artery; UA: Uterine artery.

Figure 3 Intraoperative findings. A: Bladder with a dense adhesion and the mass, which extended 3 cm below the umbilicus; B: Engorged vessels of the omentum majus that appeared along the surface of the mass; C: Lifted and turned mass showing a pedicle attached to the uterine fundus; D: Resected mass along with its pedicle stump.

Figure 4 Representative immunohistochemical images of the leiomyoma. A: H&E staining; B: Ki67 staining; C: Estrogen receptor staining; D: Progesterone receptor staining. Scale bar: 50 μm.