Uterine lipoleiomyomas are variants of uterine leiomyomas that are often found incidentally, and do not require surgical intervention, unless symptomatic, and thus must be differentiated from lesions that need to be excised. While these tumors are benign, there have been reports of uterine lipoleiomyomas coexisting with other gynecological malignancies, metabolic diseases and abnormal estrogen statuses, as well as going through a malignant transformation into a liposarcoma. Here we present a 58-year-old female that presented with complaints of right upper quadrant abdominal pain.
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