A case report on recurrent cotyledonoid dissecting leiomyoma

Abstract

Cotyledonoid dissecting leiomyoma is an extremely rare variant of uterine leiomyomas. Although they are pathologically benign, they manifest as sarcomatoids because of their appearance. A 34-year-old single patient was admitted to the Obstetrics and Gynaecology outpatient clinic for recurrent abnormal uterine bleeding and inguinal pain. The patient underwent hysterectomy with a diagnosis of recurrent cotyledonoid dissecting leiomyoma. In this report, we discuss the aggressive clinical course of a patient with recurrent cotyledonoid dissecting leiomyoma resulting in hysterectomy, which has been reported in a limited number of studies in the literature.