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Title: Parasitic leiomyoma after laparoscopic myomectomy
Authors: Srithean Lertvikool
Kuan Gen Huang
Aizura Syafinaz Adlan
Angelica Anne A. Chua
Chyi Long Lee
Mahidol University
Chang Gung University College of Medicine
University of Malaya Medical Centre
St. Luke's Medical Center Quezon City
Keywords: Medicine
Issue Date: 1-Aug-2015
Citation: Gynecology and Minimally Invasive Therapy. Vol.4, No.3 (2015), 98-100
Abstract: © 2015. A 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.
ISSN: 22133089
Appears in Collections:Scopus 2011-2015

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