A Case of Myoma Mistaken for Ovarian Cyst

Background: Uterine myoma (leiomyoma) with cystic degeneration is an uncommon kind of benign uterine tumor distinguished by the presence of cystic cavities within the fibroid tissue.These are frequently observed in women of childbearing age.Large size or cystic degeneration of these tumors can cause significant morbidity.Case description: This is a case report pertaining to a 42-year-old multiparous female with a complaint of menstrual irregularities.Physical examination revealed a normal uterus, but there was a suspicion of an adnexal mass.Initially, she underwent an exploratory laparotomy, followed by an abdominal hysterectomy with bilateral salpingectomy and a right oophorectomy.Conclusion: This case highlights the diagnostic challenge presented when uterine myomas present with clinical symptoms resembling malignant tumors such as ovarian cysts.An accurate diagnosis can be helpful for a better prognosis and less invasive treatment.Clinical significance: Large myomas with cystic degeneration might closely resemble ovarian cysts on physical examination or radiological assessments, which in turn results in misdiagnosis and inappropriate clinical intervention.Hence, more cases need to be reported, which will help in providing additional clinical data.