ABSTRACT
Aims: The authors present a case of a giant pure lipoma of the uterus revealed by a postmenoposal metrorrhagia and discuss the clinical, radiological, histological characteristics and the different histogenesis hypothesis of this entity. Case Presentation: We report the case of a 73-year-old woman who presented with a pure uterine lipoma in which a preoperative diagnosis of ovarian teratoma was suggested by computed tomography. Conclusion: Pure uterine lipoma is extremely rare and only a few cases have been reported in the literature. It usually develops in postmenoposal women. Clinical symptoms and physical signs are similar to those found in leiomyomas. Nevertheless, preoperative diagnosis is difficult and requires pathological confirmation.