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Case Reports
. 2023 Mar 31:10:997338.
doi: 10.3389/fsurg.2023.997338. eCollection 2023.

Leiomyoma of the fallopian tube found during laparoscopic myomectomy: A case report and review of the literature

Bing Cheng  1 , Rui Wang  1 , Yaoqun Fu  1 , Xi Fu  1
Affiliations
Case Reports

Leiomyoma of the fallopian tube found during laparoscopic myomectomy: A case report and review of the literature

Bing Cheng et al. Front Surg. .

Abstract

Leiomyoma of the fallopian tube is an extremely rare benign tumor of the fallopian tube. Because of the small number of cases, it is difficult to calculate their incidence. In this case report, we report a case of leiomyoma of the fallopian tube detected during laparoscopic myomectomy in a 31-year-old female with occasional pelvic pain. The patient was diagnosed with uterine leiomyoma based on a transvaginal ultrasound scan. She was operated and a 3*3 cm mass in the area of the isthmus of the left fallopian tube was observed. Three uterine leiomyomas and one leiomyoma of the fallopian tube were removed. Ultrasound at 6 months postoperatively showed no abnormality. Hysterosalpingo-contrast-sonography (HyCoSy) at 15 months postoperatively showed bilateral fallopian tubes were unobstructed. For those patients with fertility requirements, some fertility-preserving techniques can be used to allow complete resection of the leiomyoma and avoid tubal damage.

Keywords: benign tumors; fallopian tube neoplasms; fertility; laparoscopic myomectomy; leiomyoma.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
(A) Preoperative ultrasound showed multiple uterine leiomyomas. (B) Ultrasound image of normal uterus 6 months after surgery.
Figure 2
Figure 2
(A–C) A 3*3 cm smooth, firm mass with a narrow base was seen in the area of the isthmus of the left fallopian tube. There are also several large uterine leiomyoma, as described by ultrasound. (D,E) After the base of leiomyoma of fallopian tube was treated with bipolar coagulation to reduce bleeding, the base was cut 0.5 cm away from the tube by scissors. (F) Treat the remaining uterine leiomyoma according to conventional methods.
Figure 3
Figure 3
Hysterosalpingo-contrast-sonography (HyCoSy) at 15 months postoperatively showed bilateral fallopian tubes were unobstructed.
See this image and copyright information in PMC

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