Abstract
Leiomyoma, benign tumors of smooth muscle origin, is one of the commonest uterine tumours in the reproductive age group and originates from the myometrium. While most leiomyomas are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse and urinary frequency and urgency. Extra uterine leiomyomas are rare, usually benign, they may theoretically arise from any anatomic site containing smooth muscle. Their presence in pre-peritoneal or within the anterior abdominal wall muscles is extremely uncommon and often masquerades as an adnexal mass leading to dilemmas in diagnosis.
Highlights
Uterine leiomyomas [fibroids] are one of the most common tumours found in women of the reproductive age group
If a pedunculated subserosal fibroid develops an extremely long stalk, it is called wandering or migrating leiomyoma [2]. These pedunculated growths can occasionally detach from the uterus to become a parasitic leiomyoma [2] [3]
Parasitic leiomyomas have been found in the remnants of previous hysterectomy or laparoscopic myomectomy especially when a morcellator has been used for retrieval [3] [4]
Summary
Uterine leiomyomas [fibroids] are one of the most common tumours found in women of the reproductive age group. Extra uterine leiomyomas are rare, benign, and may arise from any anatomic site. Their unusual growth pattern may even mimic malignancy and can result in clinical dilemma. If a pedunculated subserosal fibroid develops an extremely long stalk, it is called wandering or migrating leiomyoma [2]. These pedunculated growths can occasionally detach from the uterus to become a parasitic leiomyoma [2] [3]. Parasitic leiomyomas have been found in the remnants of previous hysterectomy or laparoscopic myomectomy especially when a morcellator has been used for retrieval [3] [4]
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