Abstract
To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids. Case report. Tertiary-level private hospital. Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids. Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis. Histology of masses showed adenomyoma. There was no evidence of malignancy. Morcellation of the fibroids during a total laparoscopic hysterectomy likely left fragments that formed iatrogenic parasitic fibroids, which led to the subsequent laparotomy and bowel resection for potential malignancy.
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