J Korean Soc Radiol.  2023 Jul;84(4):946-951. 10.3348/jksr.2022.0032.

Extremely Rare CT and MRI Findings of Peritoneal Leiomyoma Mimicking Hepatic Mass: A Case Report

• Woo J
• Choi SY
• Kim HK
• Lee JE
• Lee MH
• Lim S

• KMID: 2545020
• DOI: http://doi.org/10.3348/jksr.2022.0032

Abstract

Leiomyoma is a common benign tumor from smooth muscle cells, mostly in the uterus. Peritoneal leiomyomas (PLs) are extremely rare and mostly reported as disseminated peritoneal leiomyomatosis. However, to the best of out knowledge, radiologic findings of isolated PL are not reported in English literature. Herein, we introduce the radiologic findings of PL mimicking hepatic mass in a 34-year-old female. CT showed a mass with curvilinear heterogeneous enhancement at the liver’s peripheral area. On MRI, the mass showed gradual and heterogeneous enhancement on gadoxetic acid-enhanced MRI and diffusion restriction. The radiologic diagnosis was a benign hepatic tumor, such as degenerated hemangioma, adenoma, and inflammatory myofibroblastic tumor; however, the mass was diagnosed as PL pathologically.

Keyword

Magnetic Resonance Imaging; Tomography, X-Ray Computed; Leiomyoma; Peritoneum; Liver