Open AccessRetroperitoneal leiomyomata as a cause of bilateral hydronephrosis and lumbosciatic pain
Author(s) -
Gloria Rodríguez,
Pablo Guisado-Vasco,
Maria Eugenia Reguero Callejas,
F.J. Burgos Revilla
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.05.2009.1857
Subject(s) - medicine , leiomyoma , hydronephrosis , abdominal pain , retroperitoneal space , uterine leiomyoma , pelvic pain , surgery , rare disease , aromatase , radiology , disease , urinary system , cancer , breast cancer
Leiomyomas can occasionally be found in the pelvic and/or abdominal parietal retroperitoneum. This rare entity is known as retroperitoneal leiomyomata. We report the case of a 46-year-old female with bilateral hydronephrosis and chronic sciatic pain caused by invasive retroperitoneal leiomyoma 3 years after hysterectomy, and a successful outcome after treatment with surgery followed by aromatase inhibitors to control pelvic residual disease. Aromatase inhibitors could be a satisfactory treatment option after surgery to control retroperitoneal leiomyoma residual disease.