Highlights • Primary retroperitoneal parasitic leiomyoma (PRPL) with inguinal extension is a diagnostic-therapeutic challenge.• PRPL may be considered unresectable according to conventional surgical techniques.• Extrauterine PRPL variant could be related… Click to show full abstract
Highlights • Primary retroperitoneal parasitic leiomyoma (PRPL) with inguinal extension is a diagnostic-therapeutic challenge.• PRPL may be considered unresectable according to conventional surgical techniques.• Extrauterine PRPL variant could be related to remnant embryonic cells.• Karakousis’s approach allows a safe en-bloc ilioinguinal tumor excision in continuity.• Karakousis’s abdominoinguinal approach should be part of the armamentarium of every surgeon.
               
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