Abstract

Introduction A parasitic leiomyoma is considered an extremely rare variant of extra uterine leiomyoma. It presents as a peritoneal pelvic benign smooth muscle mass separate from the uterus. We report a case of a 36-year-old female who presented with generalized abdominal pain and was found to have a parasitic fibroid which may have occurred following laparoscopic myomectomy, and along with it a review on current literature of parasitic fibroids. Parasitic leiomyoma presents with vague symptoms and the diagnosis is challenging. In prevention of this condition, various alternatives must be utilized when using electromechanical power morcellation for myomectomy.

Highlights

  • A parasitic leiomyoma is considered an extremely rare variant of extra uterine leiomyoma

  • Parasitic leiomyoma presents with vague symptoms and the diagnosis is challenging

  • Fragmentation of the fibroids during morcellation may lead to peritoneal scattering, and if not identified at the time of the surgery, may grow into parasitic leiomyomas[3]

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Summary

Introduction

A parasitic leiomyoma is considered an extremely rare variant of extra uterine leiomyoma. Parasitic leiomyoma presents with vague symptoms and the diagnosis is challenging. It presents as a benign smooth muscle mass separate from the uterus[2]. With popularity of minimal invasive surgical technology most of the myomas are excised laparoscopically and specimens are retrieved by power morcellation.

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