Massive cystic degeneration in a giant uterine leiomyoma: A rare case report.

Uterine leiomyomas stand as the predominant benign pelvic tumours among women. The diagnosis and management of a giant leiomyoma can be challenging. Herein, we are reporting the case of a 44-year-old multiparous woman who presented with huge abdominal distention. On imaging, a huge solid cystic mass of 42 × 25.7 × 35.8 cm was occupying the whole abdominopelvic cavity. After evaluation and multidisciplinary discussion, the patient was taken up for surgery. A giant grey-white solid cystic mass attached to the fundus and body of the uterus was found. Intraoperatively, around 23 litres of clear seromucinous fluid was gradually drained from the mass. After decompression of the mass and careful dissection, a hysterectomy was performed. Bilateral ovaries and fallopian tubes were grossly normal. The histopathology established the diagnosis of Giant cystic leiomyoma with massive cystic degeneration. Such massive cystic degeneration in uterine leiomyoma is an exceedingly rare finding.