Parasitic leiomyoma after laparoscopic myomectomy

Publication date: Available online 27 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Srithean Lertvikool , Kuan-Gen Huang , Aizura-Syafinaz Adlan MOG(Mal) , Angelica Anne A. Chua , Chyi-Long Lee A 31–year old nulligravid underwent laparoscopic myomectomy and the masses were removed by an electric morcellator. Five years later, this patient suffered from with acute pelvic pain and received operation. During laparoscopic surgery, an 8-cm right-sided multiloculated ovarian cyst with chocolate-like content was seen. After adhesiolysis, two parasitic myomas (each approximately 2 cm in diameter) were found attached to the right ovarian cyst and the other two parasitic myomas (each approximately 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, the use of morcellaton should be careful. With that being said, all of the myomatous fragment should be removed after morcellutim.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research