Abstract

1. Abstract
Uterine lipoleiomyoma is relatively rare in the clinic, particularly pregnancy with uterine lipoleimyoma which only one case has been reported in the literature. Therefore, misdiagnosis of uterine lipoleiomyoma as other gynecological diseases is highly likely, especially in the pregnancy state. Here we report a case of a 38-year-old female admitted with complaints of intermittent lower abdominal pain discomfort for 10 days. Based on the clinical manifestations, laboratory and imaging examinations, she was diagnosed as pregnant with uterine fibroid with fatty degeneration prior to operation. She had undergone the laparoscopic myomectomy after abortion for 50 days. However, uterine lipoleiomyoma was confirmed based on the postoperative features and immunohistochemical results. This patient was discharged home in good general condition with regular follow-up. According to summarize the key points of this misdiagnosed case, we can know that the uterine lipoleiomyoma is a rare benign tumor with no specific clinical symptoms. It is a challenge to make a definite diagnosis before surgery and needs to be confirmed by immunohistochemistry assay along with histopathological examination. The clinical characteristics and treatment methods of pregnancy with uterine lipoleiomyoma and its obstetric outcomes are similar to those of pregnancy with uterine fibroids. However, whether there are differences among the same aspects remains to be clarified by a large number of clinical data.