Angioleiomyoma of Uterus-Case Report of a Rare Variant

Angioleiomyoma is a rare variant of leiomyoma originating from smooth muscle cells and characterised by thick walled blood vessels. It usually occurs in the subcutaneous tissue of the lower extremities. Only a limited number of cases have been reported to involve uterus. It causes heavy menstrual bleeding and dysmenorrhea due to dysregulation of growth factors like basic fibroblast growth factor affecting angiogenesis. There are no specific clinical and radiological features which can differentiate it from leiomyoma; hence the diagnosis is usually possible only after histopathological examination. Here, we are presenting a case report of 35 year old woman who came to us with complaints of menorrhagia and pain abdomen. She was diagnosed to have leiomyoma uterus for which myomectomy was done and the final histopathological report came out to be angioleiomyoma of uterus.