title: Vascular Lipoleiomyoma of the Uterus: an Unusual Case.
abstract: BACKGROUND
  Uterine lipoleiomyomas are a rare type of uterine myomas, which have been seldom diagnosed and are less known and still unusual. Histologically they are composed of smooth muscle cells with multiple fat cells and fibrous tissue. Their pathogenesis is still a stigmata and their preoperative diagnosis is still questionable.
  A 39-year old woman presented at the University clinic for obstetrics and gynecology with complaints of a mild low abdominal and pelvic pain, increased frequency of vaginal bleeding and abdominal distension. Ultrasound examination showed dislocated uterus by a large semisolid tumor, located between the uterus and the urinary bladder. This mass was not well defined and had great vascularity. Pelvic computerized tomography revealed a large heterogeneous tumor located behind the bladder, measuring 8.5x7.5cm in size, making compression on the other pelvic organs.
  
  
  CONCLUSIONS
  We should pay more attention on the preoperative imaging studies, in order to select patients who require surgery and further treatment more appropriately.
authors.affiliation: University Clinic for Obstetric and Gynecology, Skopje, Republic of Macedonia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Chibisheva
authors.affiliation: University Clinic for Obstetric and Gynecology, Skopje, Republic of Macedonia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Antovska
authors.affiliation: University Clinic for Obstetric and Gynecology, Skopje, Republic of Macedonia.
authors.forename: Milka
authors.initials: M
authors.lastname: Trajanova
authors.affiliation: University Clinic for Obstetric and Gynecology, Skopje, Republic of Macedonia.
authors.forename: Drage
authors.initials: D
authors.lastname: Dabeski
authors.affiliation: Institute for Pathology, Medical faculty, University "Ss. Cyril and Methodius", Skopje, Republic of Macedonia.
authors.forename: Rubens
authors.initials: R
authors.lastname: Jovanovic
authors.affiliation: University Clinic for Obstetric and Gynecology, Skopje, Republic of Macedonia.
authors.forename: Ivana
authors.initials: I
authors.lastname: Kijajova
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy
keywords: imaging studies; myomas; pelvic tumor; uterus