Publication: Parasitic leiomyoma after laparoscopic myomectomy
Issued Date
2015-08-01
Resource Type
ISSN
22133089
22133070
22133070
Other identifier(s)
2-s2.0-84959371677
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Mahidol University
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SCOPUS
Bibliographic Citation
Gynecology and Minimally Invasive Therapy. Vol.4, No.3 (2015), 98-100
Suggested Citation
Srithean Lertvikool, Kuan Gen Huang, Aizura Syafinaz Adlan, Angelica Anne A. Chua, Chyi Long Lee Parasitic leiomyoma after laparoscopic myomectomy. Gynecology and Minimally Invasive Therapy. Vol.4, No.3 (2015), 98-100. doi:10.1016/j.gmit.2015.05.003 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/36363
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Title
Parasitic leiomyoma after laparoscopic myomectomy
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.