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Extrauterine or extraintestinal leiomyomas are extremely uncommon especially in the pre-peritoneal area or within the anterior abdominal wall muscles. There is paucity of reports of isolated de novo pre-peritoneal wall leiomyomas in the literature. We therefore report one such case of pre-peritoneal abdominal wall leiomyoma occurring in post menopausal woman aged 55 years with no history of prior abdominal operations.

De novo Growth of Pre-peritoneal Leiomyoma of the Abdominal Wall: A Diagnostic Challenge