Spontaneous parasitic leiomyoma in a post‐partum woman

Abstract

We report a case of spontaneous parasitic leiomyoma in a 30-year-old post-partum woman. A subserosal leiomyoma had been noted at the first trimester screening, and she had experienced persistent abdominal pain during her previous pregnancy. She was referred to hospital with severe abdominal pain at 7 months after delivery. We detected a homogenous solid tumor that resembled the subserosal leiomyoma but was completely detached from the uterus. On laparoscopy the vascularization of the tumor was supplied from the omentum, which was tightly adherent to the tumor. Histopathologically, the tumor was surrounded by a fibrous vascular capsule, and broadly hyalinized and partially calcified, consistent with a degenerated uterine leiomyoma. Detachment of a pedunculated subserosal leiomyoma from the uterus following adhesion to other pelvic structures throughout pregnancy may result in a parasitic leiomyoma, a rare subtype of uterine leiomyoma.

Parasitic leiomyoma: A case report with literature review

“…The etiology is unknown, however iatrogenic cause is suggested [2] . Several authors reported PL occurring after laparoscopic removal of UL or uterine myomectomy and explained the condition by unintentional seeding of the fragments during the procedure [3] , [4] , [5] . However PL occurring in virgin abdomen cannot be explained by this etiology.…”

“…However PL occurring in virgin abdomen cannot be explained by this etiology. PL is an extremely rare disease with less than 30 reported cases in literature [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] . In line with SCARE guide line, we report a rare case of PL occurring a in a middle age female without history of previous abdominal operation with a brief review of literature [21] .…”

Transvaginal postpartum manual removal of a prolapsed submucous leiomyoma, initially diagnosed hybrid predominantly intramural

“…The second case reports an intramural myoma changing into a pedunculated subserosal type on a small stalk 10. Another case report that describes a change of anatomical site of a myoma during pregnancy describes a subserosal myoma noted during the first trimester but changed to a parasitic omental myoma 7 months postpartum 11. Our case indicates a large intramural myoma during pregnancy and immediate postpartum but clearly changed anatomic site to a submucosal type 35 days postpartum.…”

Extrauterine mesenteric leiomyoma: Case report

“…Na komjuterizovanoj tomografiji lejomiomi se prikazuju kao homogene, solidne, dobro vaskularizovane lezije,dok se na magnetnoj rezonaci, koja je superiornija za karakterizaciju mekotkivnih struktura, prikazuju kao strukture slicne glatkom mišićnom tkivu, nesto višeg intenziteta signala na T1W, nižeg T2W intenziteta signala, homogene postkontrasne opacifikacije posle intravenske primene magnet specifičnih kontrasnih sredstava, bez restrikcije difuzije na DWI sekvencama i bez supresije signala na FS sekvencama 3 .…”