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Case Report
Erosion of calcified uterine leiomyoma into the urinary bladder: A case report
1 Department of Gynecology, Cleveland Clinic Florida, Weston, FL, USA
2 Department of Urology, Cleveland Clinic Florida, Weston, FL, USA
Address correspondence to:
Laura Ramirez-Caban
MD, Department of Gynecology, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331,
USA
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Article ID: 100127Z08LC2022
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How to cite this article
Ramirez-Caban L, Malekzadeh M, Cabrera F, Suarez-Mora A. Erosion of calcified uterine leiomyoma into the urinary bladder: A case report. J Case Rep Images Obstet Gynecol 2022;8(2):16–20.ABSTRACT
Introduction: Uterine leiomyomas are benign smooth muscle tumors that affect approximately 70–80% of women worldwide. Erosion of leiomyomas into surrounding tissues is a rare complication. We present a case of a postmenopausal female with uterine leiomyoma eroding into the urinary bladder.
Case Report: A 55-year-old, postmenopausal female with history of uterine fibroids previously treated with uterine artery embolization presented with recurrent bladder stones, hematuria, and pelvic pain. Pelvic magnetic resonance imaging described a 4.3 cm heterogenous mass involving the ventral uterine fundus and bladder dome concerning for malignancy. She underwent robotic-assisted total laparoscopic hysterectomy, right salpingo-oophorectomy, left salpingectomy, and partial bladder cystectomy. Pathology was significant for benign calcified leiomyoma and benign calcifications within the bladder mucosa.
Conclusion: Erosion of leiomyoma through the bladder mucosa is rare complication but should be considered in the differential diagnosis for patients presenting with hypercalciuria and recurrent bladder stones in the setting of uterine fibroids previously treated with uterine artery embolization.
Keywords: Bladder erosion, Hypercalciuria, Uterine artery embolization, Uterine fibroids
SUPPORTING INFORMATION
Author Contributions
Laura Ramirez-Caban - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maral Malekzadeh - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Fernando Cabrera - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Adria Suarez-Mora - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Laura Ramirez-Caban et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
