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Peer-reviewedCC BY-NC-SA 4.0Annals of African Medicine

Giant Mesenteric Angioleiomyoma: A Rare Case Report

  1. 1Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India

Abstract

Angioleiomyomas are rare benign tumors of smooth muscle primarily originating from blood vessels. This tumor displays a distinctive histological pattern characterized by bundles of spindle-shaped smooth muscle cells arranged around numerous small vascular spaces. The diagnosis is possible with distinct histopathological and immunohistochemical analysis due to its nonspecific clinical and radio-imaging features. In this article, we report our experience with patients treated for rare angioleiomyomas located near the urinary bladder and describe their demographics and clinical courses. A 23-year-old unmarried male came to the surgical outpatient unit with complaints of abdominal pain for the past 1 month. Ultrasonography of the abdomen and pelvis revealed an approximately 8.5 cm × 18.6 cm × 18 cm heterogeneous mass lesion extending from the presacral region to the umbilical region. Intraoperative findings revealed a large 30 cm × 20 cm mass originating from the fundus of the urinary bladder. Histopathological examination showed a benign spindle cell neoplasm, confirming the diagnosis of angioleiomyoma. Larger angioleiomyomas, as in our case, required an external surgical approach. Further research is needed to better understand the etiology and treatment approaches for this uncommon site.

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BibTeX
@article{girme2026giant,
  title = {{Giant Mesenteric Angioleiomyoma: A Rare Case Report}},
  author = {Amit Girme and Harshith Naganagoudar and Madhuri Tribhuvan and Gowri Sanjay},
  journal = {Annals of African Medicine},
  year = {2026},
  month = aug,
  doi = {10.4103/aam.aam_187_26},
  url = {https://doi.org/10.4103/aam.aam_187_26},
  note = {CC BY-NC-SA 4.0},
}
RIS
TY  - JOUR
TI  - Giant Mesenteric Angioleiomyoma: A Rare Case Report
AU  - Amit Girme
AU  - Harshith Naganagoudar
AU  - Madhuri Tribhuvan
AU  - Gowri Sanjay
PY  - 2026
DA  - 2026/08/10
JO  - Annals of African Medicine
DO  - 10.4103/aam.aam_187_26
UR  - https://doi.org/10.4103/aam.aam_187_26
AB  - Angioleiomyomas are rare benign tumors of smooth muscle primarily originating from blood vessels. This tumor displays a distinctive histological pattern characterized by bundles of spindle-shaped smooth muscle cells arranged around numerous small vascular spaces. The diagnosis is possible with distinct histopathological and immunohistochemical analysis due to its nonspecific clinical and radio-imaging features. In this article, we report our experience with patients treated for rare angioleiomyomas located near the urinary bladder and describe their demographics and clinical courses. A 23-year-old unmarried male came to the surgical outpatient unit with complaints of abdominal pain for the past 1 month. Ultrasonography of the abdomen and pelvis revealed an approximately 8.5 cm × 18.6 cm × 18 cm heterogeneous mass lesion extending from the presacral region to the umbilical region. Intraoperative findings revealed a large 30 cm × 20 cm mass originating from the fundus of the urinary bladder. Histopathological examination showed a benign spindle cell neoplasm, confirming the diagnosis of angioleiomyoma. Larger angioleiomyomas, as in our case, required an external surgical approach. Further research is needed to better understand the etiology and treatment approaches for this uncommon site.
SN  - 1596-3519
SN  - 0975-5764
ER  -