Parasitic leiomyoma causing small bowel perforation: A case report

Laibangyang, Anya; Law, Cassandra; Gupta, Gunjan; Dong, Xiang Da; Chuang, Linus

doi:10.1016/j.crwh.2021.e00349

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…To date, there are several possible presuppositions including iatrogenic seeding, the influence of female sex hormones (estrogen and progesterone) and genetic components. With the prevalence of parasite myomas within the last 20 years, the most plausible hypothesis is that during the hysterectomy or myomectomy especially the morcellation, the fragments of the uterus and myoma can be implanted into the abdominopelvic iatrogenically [ 5 ]. And the overall incidence of parasitic myomas after laparoscopic morcellation was 0.12–0.95% [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Laibangyang et al. reported a 63-year-old woman with a surgical history significant for two cesarean sections and an abdominal myomectomy 20 years prior, with symptoms concerning for a small bowel perforation, who underwent an emergent exploratory laparotomy, verifying it was an abdominal leiomyoma with ischemic necrosis and hemorrhage measuring 42 × 30 × 13 cm 3 that caused multiple sites perforation containing pus and feculent material from the perforated site finally [ 5 ]. Except the compression symptoms, some PL were detected during other surgical procedures accidentally, Varun et al.…”

Section: Discussionmentioning

confidence: 99%

“…Leiomyomas may contain small areas with malignant transformation that escape initial diagnosis but later can give rise to local recurrences and metastases [ 19 ]. Besides, some PL grows into a large mass causing the abnormality of organs’ function or acute abdomen [ 5 , 15 ]. And now the mainstay of treatment for PL is complete surgical resection via laparoscopy or laparotomy [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Parasitic leiomyoma of the greater omentum: a case report and literature review

Huang,

Wang,

Lei

2024

Journal of Surgical Case Reports

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Parasitic leiomyomas (PL), also known as free leiomyomas, which occur outside the uterus and rarely happen in clinical practice. They are usually reported in women of reproductive age who underwent hysterectomy or myomectomy and frequently present with symptoms such as abdominal pain and distention. In fact, it is hard to determine the nature of the mass according to the imaging examination and clinical manifestation. At present, the most common treatment involves an abdominal or laparoscopic surgery in order to remove the mass and perform the next step of treatment based on the histological diagnosis. In this case report, we describe a 35-year-old woman with a 12.4 × 9.3 × 9.8 cm3 PL with blood supply from the greater omentum. Considering the prolonged menstruation of the patient, she underwent the hysteroscopic and laparotomy exploration. The mass was confirmed as smooth leiomyoma with necrosis by the immunohistochemical examination. The patient had a good recovery and being discharged seven days after the surgery. The patient is still in the follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Parasitic leiomyoma of the greater omentum: a case report and literature review

Huang,

Wang,

Lei

2024

Journal of Surgical Case Reports

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“…The clinical manifestation depends on the size and location of the lesion [ 1 , 7 ]. Approximately 44–50% of leiomyomas exhibit symptoms such as intestinal obstruction, gastrointestinal bleeding, intussusception or abdominal mass ( Table 1 ) [ 1 , 8 ]. Conversely, smaller lesions are often serendipitously discovered during surgical procedures, radiological examinations, or endoscopic investigations [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case report: Huge ileal leiomyoma: Clinical presentation, management, and implications

Ferjaoui,

Haloui,

Omry

et al. 2024

International Journal of Surgery Case Reports

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Parasitic myoma after transabdominal hysterectomy for fibroids: a case report

2023

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Background Parasitic myomas typically occur after a pedunculated subserosal fibroid loses its uterine blood supply and parasitizes other organs or after a surgery involving morcellation techniques. Parasitic myomas that occur after transabdominal surgery are extremely rare and may not be sufficiently documented. Here, we present a case of parasitic myoma in the anterior abdominal wall following a transabdominal hysterectomy for fibroids. Case presentation The patient was a 46-year-old Chinese woman who had undergone surgery for uterine myomas at our hospital 1 year prior. The patient later revisited our department with a palpable mass in her abdomen, and imaging revealed a mass in the iliac fossa. The possibility of a broad ligament myoma or solid ovarian tumor was considered before surgery, and laparoscopic exploration was performed under general anesthesia. A tumor measuring approximately 4.5 × 4.0 cm was found in the right anterior abdominal wall, and a parasitic myoma was considered. The tumor was completely resected. Pathological analysis of the surgical specimens suggested leiomyoma. The patient recovered well and was discharged on postoperative day 3. Conclusion This case suggests that parasitic myoma should be considered in the differential diagnosis of patients presenting with abdominal or pelvic solid tumors with a history of surgery for uterine leiomyomas, even without a history of laparoscopic surgery using a power morcellator. Thorough inspection and washing of the abdominopelvic cavity at the end of surgery is vital.

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Parasitic leiomyoma causing small bowel perforation: A case report

Cited by 3 publications

References 4 publications

Parasitic leiomyoma of the greater omentum: a case report and literature review

Parasitic leiomyoma of the greater omentum: a case report and literature review

A rare case report: Huge ileal leiomyoma: Clinical presentation, management, and implications

Parasitic myoma after transabdominal hysterectomy for fibroids: a case report

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