A rare case of primary parasitic leiomyoma mimicking as ovarian mass: a clinical dilemma

Sarmalkar, Meenal; Nayak, Arun; Singh, Neha; Mehendale, Madhuri; Dixit, Pratibha

doi:10.18203/2320-1770.ijrcog20160409

Cited by 15 publications

(19 citation statements)

References 5 publications

(4 reference statements)

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“…On the other hand, unlike most of the reported cases in the literature [6] [7] [8], our case has no previous history of laparoscopic myomectomy that may provoke unintentional seeding of fragments. In other words, she has no evident predisposing iatrogenic factor for PL.…”

Section: Discussionmentioning

confidence: 61%

Case Report: Parasitic Leiomyoma

Yared¹,

Darido²,

Chahine³

et al. 2019

JCT

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Parasitic Leiomyoma (PL) is considered a rare variant of uterine fibroids occurring outside the uterus. We hereby report a challenging case of parasitic leiomyoma that is considered rare in the literature with all its particularities. A 62 YO lady is known to have a history of diabetes, right breast carcinoma, appendectomy and normal vaginal deliveries presenting with a two-year history of back and abdominal pain with recent urinary symptoms. Therefore, an abdominopelvic Ct scan and MRI were done showing uterine fibroids compressing the bladder. The patient underwent an exploratory laparotomy. A palpable intravesical mass was identified. Transurethral cystoscopic resection was performed. Pathology results confirmed the leiomyomatous nature of the mass. Postoperatively, the surgery was complicated with a wound dehiscence and a hematoma formation on the left lateral wall of the bladder that was treated conservatively with a good follow-up outcome.

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Section: Discussionmentioning

confidence: 61%

Case Report: Parasitic Leiomyoma

Yared¹,

Darido²,

Chahine³

et al. 2019

JCT

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“…A higher incidence has been noted in African American than in Caucasian women. Leiomyomas are classified as: Submucosal, intramural, subserosal and transmural [6].…”

Section: Discussionmentioning

confidence: 99%

A Case Report with Literature Review: Parasitic Leiomyoma

Zoghby¹,

Keriakos²,

Daou³

et al. 2019

JCT

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Leiomyoma is a benign tumour composed mainly of smooth muscle cells. It contains varying amount of fibrous connective tissues. Parasitic leiomyoma is a rare manifestation of uterine leiomyoma defined as a pedunculated subserosal fibroid that undergoes torsion and detaches from the uterus. We are reporting a case of parasitic leiomyoma in a 55 Y/O female patient that had already given her consent for the case to be published. She presented with increased abdominal girth since 6 months and body weight and consulting for possible bariatric surgery 1 month prior to presentation. Ultrasonography revealed a large heterogeneous mass starting from the pelvic region to the middle and upper abdomen of more than 37 cm compatible with an adnexal mass. On abdominopelvic MRI: presence of an enlarged heterogeneous mass that seems taking its origin from the right ovary, an exploratory laparotomy was performed. Identification and complete excision of a huge mass of cystic and solid component adherent to the uterus and the mesentery of the small bowel. Histopathologically mass was confirmed as a hyelanized leiomyoma with a focal necrobiosis with no signs of malignity. Parasitic leiomyomas are rare tumors. Imaging modalities help in diagnosis but not always. The definitive treatment is surgical excision, presenting this case due to its rarity and diagnostic difficulties posed.

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“…As far as areas of prevalence is concerned African American women are reported to be more commonly affected than Caucasians. 8 Parasitic leiomyoma is regarded as a subtype of subserosal fibroid by some authors. 3,9 Others consider it as a complication of uterine procedures being performed for some type of uterine pathology.…”

Section: Discussionmentioning

confidence: 99%

“…3,9 Others consider it as a complication of uterine procedures being performed for some type of uterine pathology. 3,8 Literatures have only few reported cases, most of them reported in last few decades secondary to increased laparoscopic procedures of the uterus. 8 In a study by Kimberly and his colleagues out of 12 patients ten patients had history of previous abdominal surgery and eight had history of previous morcellation procedures.…”

Section: Discussionmentioning

confidence: 99%

“…3,8 Literatures have only few reported cases, most of them reported in last few decades secondary to increased laparoscopic procedures of the uterus. 8 In a study by Kimberly and his colleagues out of 12 patients ten patients had history of previous abdominal surgery and eight had history of previous morcellation procedures. 11 Lu et al presented six such cases, all of which had history of laparoscopic hysterectomy or myomectomy with power morcellation.…”

Section: Discussionmentioning

confidence: 99%

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Rare presentation of a case of primary parasitic leiomyoma with concurrent uterine leiomyomas

Kalpana

Panda

2018

Int J Reprod Contracept Obstet Gynecol

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Uterine leiomyomas are the most common pelvic benign tumours affecting women of reproductive age group. Parasitic leiomyoma is a type of leiomyoma which has been completely detached from uterus and is having independent blood supply from nearby structures, it’s attached with. Parasitic leiomyoma is regarded as a sub-type of subserosal fibroid by some authors. While others consider it as a complication of uterine procedures being performed for some type of uterine pathology. Here we are reporting a rare case of primary parasitic leiomyoma with concurrent multiple uterine leiomyomas that were managed by laparoscopic myomectomy. They create clinical dilemma due to their tendency to mimic as other pelvic tumours. So parasitic fibroids must be kept in the differential diagnosis of every case of abdominopelvic mass. Finally, it can be a rare complication of morcellation procedure performed for myoma retrieval and hence caution should exercise during such procedures.

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A rare case of primary parasitic leiomyoma mimicking as ovarian mass: a clinical dilemma

Cited by 15 publications

References 5 publications

Case Report: Parasitic Leiomyoma

Case Report: Parasitic Leiomyoma

A Case Report with Literature Review: Parasitic Leiomyoma

Rare presentation of a case of primary parasitic leiomyoma with concurrent uterine leiomyomas

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