PC-GG11 : A case of accidently discovered aggressive angiomyxoma of the pelvic abdominal wall

Aggressive angiomyxoma (AA) is a rare mesenchymal tumor that preferentially involves the pelvic and perineal regions, and is characterized by frequent local recurrences. AA arises from the blood vessel wall, occurs most commonly in women of reproductive age and commonly affects the vulva. The ratio of females to males is estimated at 6.6:1. Macroscopically, the tumors are partially encapsulated and gelatinous in appearance. Histologically, angiomyxoma is a hypocellular mesenchymal tumor with occasional spindle cells. They express estrogen and progesterone receptors, which supports the argument for a hormonal influence on these lesions. Metastases are exceedingly rare, and overall, the prognosis is good. The mainstay of treatment for AA is surgical resection. We experienced a case of accidently discovered AA of the pelvic abdominal anterior wall. We describe here a case of a 50-year-old woman, who received laparoscopic operation of uterus and left adnexa with detected uterine myoma and left ovarian cyst. And completely resected the pelvic abdominal anterior wall mass, using laparoscopic approach. The patient was then close observation with no recurrence. In of this case, we aimed to discuss AA of the pelvic abdominal wall and is reported for its rarity.