title: Unusual presentation of uterine leiomyoma.
abstract: Uterine leiomyoma is the most common pelvic tumour in women. The presentation of uterine leiomyoma varies. Symptoms may include abnormal uterine bleeding or abdominal pressure and heaviness; however, most cases are asymptomatic. We report a case with renal impairment as the first presentation of uterine leiomyoma in a patient who presented with extensive bilateral lower limb oedema and no menstrual symptoms. Imaging studies, a subsequent Papanicolaou test and uterine biopsy were suggestive of uterine leiomyoma, which was confirmed by pathological examination after hysterectomy. The patient's kidney impairment resolved completely after the procedure.
authors: Department of Internal Medicine, Michigan State University, Flint, Michigan, USA.
authors: Samer
authors: S
authors: Al Hadidi
authors: Department of Internal Medicine, Michigan State University, Flint, Michigan, USA.
authors: Tabrez
authors: T
authors: Shaik Mohammed
authors: Hurley Medical Center, Flint, Michigan, USA.
authors: Ghassan
authors: G
authors: Bachuwa
mesh_terms: D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007889:Leiomyoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D035002:Lower Extremity / Q000503:physiopathology; D008875:Middle Aged; D065006:Papanicolaou Test; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome