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Background: A deeply placed, cul de sac retroperitoneal myoma in a young nullipara woman is rare and is a surgical nightmare owing to the technical challenge associated with performing a myomectomy...

Background: The clinical triad presentation of a benign ovarian tumor (fibroma, thecoma, granulosa-cell tumor), ascites, and hydrothorax that resolve after removal of the aforementioned tumor chara...

Background: The surgical management of ovarian cancer is performed conventionally by laparotomy. The role of minimally invasive surgery has been highlighted in early stage disease, assessment of re...

Background: This article describes a very rare entity—a mature cystic teratoma occurring in the retroperitoneum in a postmenopausal patient, which is also a rare age for this presentation. Case: A ...

Objective: Second uterine carcinosarcoma (UCS) occurs in 5 years of treatment with concurrent chemoradiotherapy (CCRT) for cervical cancer. Surgical staging with lymphadenect...

Background: Genitourinary tract actinomycosis is the second most frequent clinical form of actinomycosis. Although it has been recognized for over a century, owing of its infrequent and invasive na...

Background: Ovarian transposition is recommended for preservation of ovarian function to prevent the sequelae of early menopause and to retain fertility. Potential postoperative risks of the proced...

Background: A large percentage of cases of hysterectomy involves symptomatic myomas. It can be challenging to retrieve a large uterus after laparoscopic hysterectomy through the natural orifice of ...

Background: An in-depth knowledge of the vascular anatomy of the female pelvis is crucial for any gyne-oncologic surgeon. No two patients are the same, hence it is possible to encounter anatomical ...

Background: Oncofertility is an emerging field that addresses the fertility and reproductive needs of patients who have cancer. Case: A 28-year-old patient with IB1 squamous-cell cervical ...

Background: Ovarian fibrothecoma is a benign ovarian tumor that is likely to be misdiagnosed as a malignancy, especially if the tumor is accompanied by ascites. Treatment for elderly patients seems challenging, because of the condition and other complications that interfere with good quality of life. Case: An 82-year-old Taiwanese woman with a solid ovarian mass, ascites, elevated CA-125, and an umbilical hernia is presented. This patient was referred for progressive abdominal distention without pain. She had noticed a significant weight loss within the previous year, despite her normal appetite. Her CA-125 level was 125 U/mL. Computed tomography revealed a right–sided solid ovarian mass that appeared to be malignant and that measured 12.4×11.4×6.3 cm. The mass was accompanied by ascites, and a small umbilical herniation. The left ovary was normal. The patient underwent single-sitting laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy and umbilical hernioplasty (Mayo ...

Background: Lipoleiomyomas are infrequent but presumably benign tumors. Imaging modalities may help in establishing a diagnosis. Case: A 41-year-old multiparous woman presented with anemia, dysmenorrhea, menorrhagia, and abdominal discomfort. Transvaginal ultrasound and abdominopelvic computed tomography were performed and both suggested a uterine leiomyoma with unusual features. Laparoscopic myomectomy was carried out. Results: Final histology reported findings compatible with lipoleiomyoma of the uterus. Three (3) months after the surgery, this patient recovered well and her abnormal uterine bleeding resolved. Conclusions: When symptomatic, uterine lipoleiomyomas can mimic leiomyomas. The hyperechoic appearance in the ultrasound and the fat-like density in the computed tomography scan are imaging features that can help to establish the diagnosis. (J GYNECOL SURG 29:76)