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Case Reports
. 2010 Apr-Jun;14(2):299-302.
doi: 10.4293/108680810X12785289144962.

An unusual presentation of a severely calcified parasitic leiomyoma in a postmenopausal woman

Jong Ha Hwang  1 , Gayatri V Modi, Min Jeong Oh, Nak Woo Lee, Jun Young Hur, Kyu Wan Lee, Jae Kwan Lee
Affiliations
Case Reports

An unusual presentation of a severely calcified parasitic leiomyoma in a postmenopausal woman

Jong Ha Hwang et al. JSLS. 2010 Apr-Jun.

Abstract

We report the case of a calcified parasitic leiomyoma in a 51-year-old postmenopausal woman with lower abdominal discomfort. She had no history of surgery. Workup confirmed a calcified leiomyoma. On laparoscopy, the mass was separate from the uterus and adhered to the bowel and bladder. Histopathological examination confirmed a calcified leiomyoma. A calcified parasitic leiomyoma in a postmenopausal woman is rare. Most prior cases were in persons with a history of a laparoscopic myomectomy. The diagnosis can be made by radiological findings. Laparoscopic excision is the treatment of choice in such cases.

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Figures

Figure 1.
Figure 1.
(A) X-ray of the kidney, ureter, and bladder showed a calcified mass in the pelvic cavity. (B) The abdomino-pelvic CT showed a solid mass with multiple scattered calcifications.
Figure 2.
Figure 2.
The laparoscopic findings showed a mass that adhered to the bowel and bladder.
Figure 3.
Figure 3.
The gross appearance of the mass removed through the umbilical trocar site using the endobag.
See this image and copyright information in PMC

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