DOI: 10.36347/sjams.2020.v08i10.006

Pages: 2239-2241

Background: Leiomyomas are the most common benign tumors of the female genital tract and most frequently they arise from the smooth muscles cells of the uterus. Fallopian tube leiomyomas are extremely rare and arise from the myosalpinx or the cells of the blood vessels supplying the fallopian tubes. Case Report: A 53- year was admitted with colicky pain abdomen with recurrent uterine bleeding and cervical polyp on per vaginal examination. USG reported uterus being bulky and enlarged with complete loss of endo-myometrial differentiation – features likely suggestive of adenomyosis. With clinical diagnosis of cervical polyp and adenomyosis of uterus patient underwent panhysterectomy. Specimen of panhysterectomy and separately sent cervical fibroid were received for histopathology examination in our department of pathology in Krishna Institute of Medical Sciences, Karad. Discussion: Leiomyomas are the most common benign tumors of the female genital tract and most commonly arise from the uterus. The incidence of fallopian tube myomas are extremely rare(5) and it is difficult to evaluate their frequency of occurrence. Fallopian tube myomas arise from the mesosalpinx or the smooth muscle cells of the blood vessels supplying the tube. They are rarely diagnosed pre-operatively. Powerful USG could be helpful in diagnosing this condition, but laparoscopy can be used for definite diagnosis and management. Conclusion: Asymptomatic fallopian tube leiomyoma being chance findings are very rare and symptomatic fallopian tube leiomyoma as in this case are still rarer. This condition should be kept in mind as a differential diagnosis of any adnexal mass.