Intraoperative Myomectomy during Caesarean Section

Galatis, Dionysios; Kiriakopoulos, Nikolaos; Benekos, Christos; Komiotis, Ioannis; Bitzi, Garyfalia; Micha, Georgia; Kalopita, Konstantina; Gripiotis, Ioannis; Strongylos, Antonios; Templalexis, Panagiotis; Flessas, Ioannis; Monastiriotis, Argyrios

doi:10.5644/ama2006-124.357

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2022

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“…Myomas are a frequent finding in women of reproductive age [5]. Traditionally, parasitic fibroids, mainly caused by extrauterine seeding, were believed to be subserosal benign tumors that while connected to the uterus became attached to adjacent organs, creating alternative vascularization for their blood supply [6].…”

Section: Discussionmentioning

confidence: 99%

Unusual Case of a Parasitic Extra-Uterine Leiomyoma Presenting With Lower Abdominal Pain

Micha¹,

Galatis²,

Kalopita³

et al. 2022

Cureus

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Parasitic fibroids are a rare type of extrauterine benign tumors that may be spontaneous or iatrogenic in origin and often difficult to diagnose due to their various presentations. We report an unusual case of a parasitic leiomyoma in a 33-year-old nulliparous woman with remote pelvic history who presented to our institution with sudden-onset lower abdominal pain. We performed an exploratory laparotomy, which revealed a 6.3x4.6 cm mass in the space of the adnexa of the right parametrium. Histopathological examination revealed features compatible with a leiomyoma. It is clear that physicians need to assess clinical findings and imaging techniques in order to establish a correct diagnosis of parasitic myomas, even when a history of myomectomy or a laparoscopic morcellation is absent.

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Section: Discussionmentioning

confidence: 99%