Article Text

Unusual presentation of more common disease/injury
Retroperitoneal leiomyomata as a cause of bilateral hydronephrosis and lumbosciatic pain
  1. Guadalupe Fraile Rodríguez,
  2. Pablo Guisado Vasco,
  3. Maria Eugenia Reguero Callejas,
  4. Francisco Javier Burgos Revilla
  1. University Hospital Ramon y Cajal, Internal Medicine, Colmenar Viejo Road km 9.1, Madrid, 28034, Spain
  1. Pablo Guisado Vasco, pg_vasco{at}


Leiomyomas can occasionally be found in the pelvic and/or abdominal parietal retroperitoneum. This rare entity is known as retroperitoneal leiomyomata. We report the case of a 46-year-old female with bilateral hydronephrosis and chronic sciatic pain caused by invasive retroperitoneal leiomyoma 3 years after hysterectomy, and a successful outcome after treatment with surgery followed by aromatase inhibitors to control pelvic residual disease. Aromatase inhibitors could be a satisfactory treatment option after surgery to control retroperitoneal leiomyoma residual disease.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.