Leiomyoma of the epididymis: a case report and review of the literature

Tumors of the epididymis, whether benign or malignant, primary or secondary are very rare. Adenomatoid tumors and leiomyomas are the most frequently diagnosed benign tumors of the epididymis. We report a case of a left-sided asymptomatic leiomyoma of the epididymis in a 39-year-old Asian man who presented with an inguinal hernia on the right side. Ultrasonography was suggestive of adenomatoid tumor of the epididymis. Surgical exploration was done through an inguinal incision with conservative excision of the benign looking mass of the tail of the epididymis. Frozen section was not performed because of clinical suspicion of tuberculosis. Histopathological examination revealed an epididymal leiomyoma. Herein, we report this case and review the relevant literature