Leiomyomes de la Paroi Abdominale : A Propos d’un Cas

Leiomyomas of the Abdominal Wall: A Case Report

Auteurs-es

  • Yao Evrard Kouame 1. Urology Department, Treichville University Hospital
  • Abraham Hognou Yao 1. Urology Department, Treichville University Hospital
  • Yeo Donafologo 2. Department of Surgery and Specialties, Felix Houphouët Boigny University
  • Coulibaly Noel 2. Department of Surgery and Specialties, Felix Houphouët Boigny University

DOI :

https://doi.org/10.5281/hra.v2i11.6151

Mots-clés :

Léiomyome, Paroi Abdominale, Histologie

Résumé

ABSTRACT
Leiomyoma is a benign tumor of the smooth muscle fibres. It is usually found in the gynacological and digestive tracts. Extra uterin locations in women are rare. These locations cause pre operative diagnosis problems. We report a case of leiomyoma of the right flank wall. The patient was 43 years old with 3 pregnancies and 3 child births. She consulted for a hard, painless tumor of the right flank that had apearred 3 months ago. Radiological exams concluded that it was a mass of the wall extending into the retroperitoneum. The radiological exam could not determine the organ affected. Cytopuncture of the mass did not reveal any malignant cells. During intervention we realised that the mass depended on the muscles of the anterolateral wall of the flank and extended into the iliac fossa and into the pelvis. Excision was performed in 2 sections, and histology revealed a leiomyoma. The post-operative course was straightforward, with no recurrenced after 10 months. There are extra uterin localisations of leiomyomas whose diagnosis is based on histology.

RÉSUMÉ
Le léiomyome est une tumeur bénigne des fibres musculaires lisses. On le retrouve généralement dans les organes gynécologiques et digestives. Les localisations extra-utérines sont rares chez les femmes. Toutefois, localisations posent des problèmes de diagnostic préopératoire. Nous rapportons un cas de léiomyome de la paroi du flanc droit. La patiente était âgée de 43 ans avec 3 grossesses et 3 accouchements. Elle a consulté pour une tumeur dure et indolore du flanc droit apparue il y a 3 mois. Les examens radiologiques ont conclu à une masse de la paroi abdominale s'étendant dans le rétropéritoine. Par ailleurs, cet examen radiologique n'a pas permis de déterminer l'organe touché. La cytoponction de la masse n'a pas révélé de cellules malignes. En per opératoire, nous avons réalisé que la masse dépendait des muscles de la paroi antéro-latérale du flanc et s'étendait dans la fosse iliaque et dans le bassin. L'excision a été réalisée en 2 sections et l'histologie a révélé un léiomyome. L'évolution post-opératoire a été simple, sans récidive après 10 mois. Il existe des localisations extra utérines de léiomyomes dont le diagnostic repose sur l'histologie.

Références

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Publié-e

2024-10-26

Comment citer

Yao Evrard Kouame, Abraham Hognou Yao, Yeo Donafologo, & Coulibaly Noel. (2024). Leiomyomes de la Paroi Abdominale : A Propos d’un Cas: Leiomyomas of the Abdominal Wall: A Case Report . HEALTH RESEARCH IN AFRICA, 2(11). https://doi.org/10.5281/hra.v2i11.6151

Numéro

Vol. 2 No. 11 (2024): Health Research in Africa

Rubrique

Cas Cliniques

Licence

(c) Tous droits réservés Yao Evrard Kouame, Abraham Hognou Yao, Yeo Donafologo, Coulibaly Noel 2024

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