Uterine lipoleiomyoma: Case report and review of the literature

Uterine lipoleiomyomas are variants of uterine leiomyomas that are often found incidentally, and do not require surgical intervention, unless symptomatic, and thus must be differentiated from lesions that need to be excised. While these tumors are benign, there have been reports of uterine lipoleiomyomas coexisting with other gynecological malignancies, metabolic diseases and abnormal estrogen statuses, as well as going through a malignant transformation into a liposarcoma. Here we present a 58-year-old female that presented with complaints of right upper quadrant abdominal pain. Ultrasonography and computed tomography performed in the workup incidentally demonstrated a fatty lesion arising from the uterine corpus, consistent with a lipoleiomyoma. This report exemplifies the importance of correctly distinguishing between non-malignant and malignant uterine masses in order to provide the correct management, as well as determining the need for further investigation relating to other malignancies, metabolic diseases, abnormal estrogen statuses and being aware of malignant transformation.