Parasitic leiomyoma after laparoscopic myomectomy

Abstract

a b s t r a c tA 31-year-old nulligravid underwent laparoscopic myomectomy and the masses were removed by an electric morcellator. Five years later, this patient suffered from acute pelvic pain and received an operation. During laparoscopic surgery, an 8-cm right-sided multiloculated ovarian cyst with chocolate-like content was seen. After adhesiolysis, two parasitic myomas (each~2 cm in diameter) were found attached to the right ovarian cyst and the other two parasitic myomas (each~1 cm in diameter) were found at the right infundibulopelvic ligament and omentum respectively. These tumors were successfully removed by laparoscopic procedure. Histopathological examination confirmed that all masses were leiomyomas and the right ovarian cyst was confirmed to be endometriosis. The formation of parasitic myomas was assumed that myomatous fragments during morcellation at the time of myomectomy may have been left behind unintentionally. Thus, morcellator should be used carefully. With that being said, all of the myomatous fragment should be removed after morcellation.

Parasitic leiomyomas: a systematic review

“…Lertvikool, 2015 119 Lurie, 1991 137 Mahmoud, 2015 74 Makris, 2012 54 Meneni, 2010 120 Mieli, 2013 88 Miyake, 2009 121 Moon, 2008 78 Mueller, 2012 47 Munshi, 2014 122 Nagase, 2012 123 Nappi, 2004 124 Nausheen, 2013 14 Nimaroff, 2010 111 Odofin, 2004 103 Okoro, 2007 96 Ordulu, 2010 67 Ostrzenski, 1997 79 Pallavee, 2014 89 Park, 2013 41 Patel, 2013 125 Paul, 2006 20 Payyapilly, 2010 69 Pezzuto, 2010 70 Phupong, 2003 22 Poliquin, 2008 77 Puga, 2013 109 Putran, 2010 126 Rabischong, 2013 90 Rader, 1990 53 Ribic-Pucelj, 2013 91 Salfelder, 2009 127 Shakir, 2012 128 Shepperd, 2012 72 Singh, 2013 129 Sinha, 2007 64 Sinha, 2009 13 Sizzi, 2007 33 Soliman, 2011 130 Tadayon, 2012 131 Takeda, 2007 61 Takeda, 2012 102 Takeda, 2013 62 Tan, 2012 45 Tanaka, 2009 35 Temizkan, 2014 …”