Objective: To report a case of a woman who presented with parasitic myomas 27 months after laparoscopic myomectomy.
Design: Case report.
Setting: University medical center.
Patient(s): A 31-year-old G0 woman who had a previous history significant for laparoscopic myomectomy with morcellation 27 months before.
Intervention(s): Repeat laparoscopic myomectomy and review of video footage from previous myomectomy.
Main Outcome Measure(s): Pathology report.
Result(s): Repeat laparoscopic examination revealed two pedunculated and two parasitic myomas. Review of video footage from initial surgery revealed pieces of myoma dispersed within pelvis during morcellation.
Conclusion(s): Pieces of initial myoma dispersed within the pelvis during morcellation may have developed into parasitic myomas.
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http://dx.doi.org/10.1016/j.fertnstert.2008.08.014 | DOI Listing |
Cureus
November 2024
Obstetrics and Gynecology, Tama-Hokubu Medical Center, Higashimurayama, JPN.
Parasitic leiomyoma (PL) develops when fragments of a morcellated uterine leiomyoma, during procedures such as laparoscopic myomectomy (LM) or total laparoscopic hysterectomy (TLH), adhere to other tissues. We recently encountered a case where PL developed in the mesentery of the sigmoid colon following TLH. A 51-year-old woman had previously undergone TLH with in-abdominal morcellation.
View Article and Find Full Text PDFJ Obstet Gynaecol Res
January 2025
Department of Obstetrics and Gynecology, Fujita Health University, Bantane Hospital, Nagoya, Japan.
Parasitic myoma is a relatively rare disease in which one or more leiomyomas form outside the uterus; however, the detailed causes are unknown. Few sporadic reports are available, and per our research, the maximum number of parasitic myomas reported to date was 26, and almost all cases were treated by surgical resection. We report a rare case of numerous parasitic myomas in the abdominal cavity, possibly including an intrathoracic lesion, which could not be resected completely.
View Article and Find Full Text PDFGynecol Minim Invasive Ther
October 2024
Department of Obstetrics and Gynecology, Chibune General Hospital, Osaka, Japan.
A few cases of spontaneous parasitic myoma have been reported. However, its cause remains unidentified. We report a case of spontaneous parasitic pedunculated subserosal myoma with pathological findings presenting with the absence of uterine smooth muscle cells in the stalk observed during robotic-assisted laparoscopic hysterectomy.
View Article and Find Full Text PDFCureus
October 2024
Obstetrics and Gynecology, Nakatsu Municipal Hospital, Nakatsu, JPN.
Spontaneous retroperitoneal parasitic leiomyomas are extremely rare and are mostly located in the pelvic cavity. Herein, we present a case of a small primary parasitic leiomyoma arising in the retroperitoneum. A 46-year-old Japanese woman presented with iron deficiency anemia.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
October 2024
Department of Public Health (Drs. Sardo, Giampaolino, and Bifulco), University of Naples Federico II, Naples, Italy.
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