Lipoleiomyoma is a rare benign fatty tumor of uterus as a distinct variety of leiomyoma (Fibroid). Histologically, it is composed of variable amounts of adipocytes and smooth muscle cells, separated by thin fibrous tissues. The exact aetiology is un known, but it is thought to represent fatty metamorphosis of smooth muscle cells of leiomyoma. The overall incidence reported as 0.03 to 0.2 % and comprising of 0.35% of uterine myomatous tumors. Case report- here we present a case of 50 years old post menopausal woman with uterine fibroid. Discussion – we confirmed our diagnosis on characteristics radiological findings of lipoleiomyoma on ultra sound and CT scan.

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