No abstract

We report a rare case of a parasitic fibroid in a 42 year old woman who presented with mass per abdomen and backache. Ultrasound showed a mass suggestive of posterior wall fibroid. Laparotomy revealed a parasitic fibroid densely adherent to the omentum and extending retroperitoneally. Histopathological findings were consistent with leiomyoma. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 422-424

Ectopic pregnancies can have varied presentations. They are common in reproductive aged women. Here, we report series of case reports of ruptured ectopic pregnancies whose clinical signs & symptoms included history of amenorrhea, irregular bleeding with no pain and no cervical motion tenderness on internal examination. The increased ratio of extra uterine to intrauterine pregnancy is related to the rising incidence of STD.

No abstract

The literature on management of recurrent/metastatic uterine leiomyosarcomas is limited and metastasis to the abdominal wall is very rare. We operated on a 46-year-old woman who had a total abdominal hysterectomy elsewhere for a uterine tumor and presented with recurrence to the anterior abdominal wall, 9 months after the primary surgery. There were two large ulcerated abdominal wall masses. The challenge after complete excision of the tumor was to reconstruct the abdominal wall. We were able to close the defect with a dual mesh and a fasciocutaneous flap from the anterolateral thigh. She received adjuvant chemotherapy with gemcitabine and docetaxel. At the completion of chemotherapy, she was well and apparently disease free. She recurred in the left inguinal node after 9 months but responded to oral pazopanib followed by chemotherapy. This case report highlights the rare possibility of abdominal wall metastasis after initial surgery for leiomyosarcoma. It shows that good quality of life can be achieved by a multidisciplinary treatment of abdominal wall metastasis of uterine leiomyosarcoma.