Parasitic leiomyoma in the abdominal wall after laparoscopic myomectomy

Abstract

Objective: To report a case of parasitic leiomyoma of the abdominal wall after laparoscopic myomectomy.

Design: Case report.

Setting: Large medical center.

Patient(s): A 31-year-old woman with a newly developed palpable mass in the abdominal wall near the trocar site of a previous laparoscopic myomectomy.

Intervention(s): Excision of the mass.

Main outcome measure(s): Histopathologic examination of the mass.

Result(s): A mass measuring 3.2 x 2.2 x 2.0 cm was excised. The lesion was located in the subfascial area of the abdominal wall, near the trocar site of a previous laparoscopic myomectomy. Histopathologic examination confirmed leiomyoma.

Conclusion(s): This result shows that myoma fragments sometimes are found to be scattered in the abdominal cavity after laparoscopic myomectomy, suggesting that all myoma fragments, however small they may be, must be completely removed.