Cellular leiomyoma: A rare variant of uterine fibroids with an unusual presentation

Cellular leiomyoma is a very rare benign variant of uterine leiomyomas. We report the case of a 69 year old grand multiparous lady who presented with ascites, weight loss, constipation, and an enlarged soft uterus, leading to a suspicion of a malignant uterine disease. She subsequently had a total abdominal hysterectomy and bilateral salpingo-oophorectomy with a good outcome. Histopathological analysis of the surgical specimen confirmed cellular leiomyoma. The need for a high index of suspicion among clinicians when encountering patients with similar clinical presentations and the importance of histological examination to enable accurate diagnosis and effective management are emphasized.