Parasitic leiomyomatosis in Medellín, Colombia: A case report and review of the literature
DOI:
https://doi.org/10.18597/rcog.66Keywords:
Leiomyomatosis, myoma, laparoscopy, myomectomy, parasiteAbstract
Objective: To present a case of parasitic leiomyomatosis occurring after laparoscopic myomectomy, and a review of the literature on the histopathology, pathophysiology, diagnosis, and treatment of this condition.
Materials and methods: 30 year-old female patient with a history of laparoscopic myomectomy who presented to Clínica las Américas (Medellín, Colombia), a private healthcare centre, complaining of uterine bleeding lasting one month. The presence of leiomyomas was document on ultrasound. The patient was taken again to laparoscopy and four parasitic leiomyomas were found in the pelvic cavity. A search was conducted in the Medline databases through PubMed and SciELO using the MeSH terms “leiomyomatosis, parasitic”, “myomectomy”, “laparoscopic”, “myoma”, and the DeCS terms “myoma”, “parasite leiomyomatosis”, “myomectomy” and “laparoscopy”.
Results: Overall, 12 articles were selected, including 10 case reports, 1 case series and 1 narrative review of the literature.
Conclusion: Parasitic leiomyomatosis is an event found most frequently at the present time after laparoscopic myomectomy, and may require surgical management.
Author Biographies
Gonzalo Ángel-Cano
Javier Castro-Solís
Adriana Arango-Martínez
References
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Sinha R, Sundaram M, Lakhotia S, Kadam P, Rao G, Majahan C. Parasitic myoma after morcellation. J Gynecol Endosc Surg. 2009;1:113-5.
Kho KA, Nezhat C. Parasitic Myomas. Obstet Gynecol. 2009;11:611-5.
Leren V, Langrebrekke A, Qvigstad E. Parasitic leiomyomas after laparoscopic surgery with morcellation. Acta Obstet Gynecol Scand. 2012; 91:1233-6.
Cuccinella G, Granese R, Calagna G, Somigliana E, Perino A. Parasitic myomas after laparoscopic surgery: an emergin complication in the use of morcellator? Report of four cases. Fertil Steril. 2011;96:90-6.
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Epstein JH, Nejat EJ, Tsai T. Parasitic myomas after laparoscopic myomectomy: case report. Fertil Steril. 2009;91:13-4.
Paul PG, Koshy AK. Multiple peritoneal parasitic myomas after laparoscopic myomectomy and morcellation. Fertil Steril. 2006;85:492-3.
Takeda A, Mori M, Sakai K, Mitsui T, Nakamura H. Parasitic peritoneal leiomyomatosis diagnosed 6 years after laparoscopic myomectomy with electric tissue morcellation: report of a case and review of the literature. J Minim Invasive Gynecol. 2007;14:770-5.
Moon HS. Parasitic leiomyoma in the abdominal wall after laparoscopic myomectomy. Fertil Steril. 2008;90:1201-2.
Larrain D, Rabischong B, Khoo CK, Botchorishvili R, Canis M, Mage G. “Iatrogenic” parasitic myomas: unusual late complication of laparoscopic morcellation procedures. J Minim Invasive Gynecol. 2010;17:719-24.
Jebbunaher S, Begun SA. Parasitic leiomyoma: a case report. Mymensingh Med J. 2013;22:173-5.
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