Uterine leiomyoma in a 13-year-old adolescent successfully treated with laparoscopic myomectomy

Rationale: Uterine leiomyoma, which is very common gynecological tumor in the reproductive years, is extremely rare in adolescence. We herein report a case of a uterine leiomyoma treated with laparoscopic surgery in an adolescent. Patient concerns: A 13-year-old girl with no gravida and her first menses at 11 years of age reported feeling bloated. She had a regular menstrual cycle but felt increased abdominal distension. Diagnosis: Transabdominal ultrasound and magnetic resonance imaging revealed uterine leiomyoma with a diameter of 10 cm. Intervention: Laparoscopic myomectomy was performed. Outcomes: The total weight of the leiomyoma removed was 660 g with pathological diagnosis of uterine leiomyoma. The postoperative course was uneventful. The patient was free of disease at the follow-up consultation 18 months after the treatment. Lessons: Laparoscopic approach is a very useful and minimally invasive surgery for symptomatic leiomyoma in adolescents.