A rare case of numerous parasitic myomas after laparoscopic myomectomy

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Research Pub Date : 2024-12-16 DOI:10.1111/jog.16187
Kazuhisa Fujita, Kazuhiko Tsukada, Fumi Utsumi, Kazuhiro Sugihara, Makoto Urano, Kiyosumi Shibata
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Abstract

Parasitic myoma is a relatively rare disease in which one or more leiomyomas form outside the uterus; however, the detailed causes are unknown. Few sporadic reports are available, and per our research, the maximum number of parasitic myomas reported to date was 26, and almost all cases were treated by surgical resection. We report a rare case of numerous parasitic myomas in the abdominal cavity, possibly including an intrathoracic lesion, which could not be resected completely. The patient was a 42-year-old, gravid 2, para 0, artificially aborted 2, and not yet menopausal woman. She had undergone laparoscopic myomectomy at a different hospital 6 years prior. Laparoscopically, numerous hard white masses, ranging from 1 mm to approximately 55 mm in size, were found in the abdominal cavity. The masses were particularly numerous in the omentum and mesentery but were also found on the diaphragm, abdominal peritoneum, and intestinal surface. The patient was pathologically diagnosed with multiple benign leiomyomas. On computed tomography, a similar nodule was observed in the right lower lobe of the lung. Despite using in-bag morcellation, as in this case, numerous parasitic myomas occurred, suggesting that greater caution should be exercised when explaining laparoscopic myomectomy to patients.

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腹腔镜子宫肌瘤切除术后出现大量寄生肌瘤的罕见病例。
寄生性子宫肌瘤是一种相对罕见的疾病,患者会在子宫外形成一个或多个子宫肌瘤,但具体原因不明。根据我们的研究,迄今为止报告的寄生性肌瘤最多为 26 例,几乎所有病例都是通过手术切除治疗的。我们报告了一例罕见的腹腔多发性寄生性肌瘤病例,可能包括胸腔内病变,但无法完全切除。患者是一名 42 岁的妇女,2 次妊娠,0 停经,2 次人工流产,尚未绝经。6 年前,她在另一家医院接受了腹腔镜子宫肌瘤切除术。腹腔镜检查发现,腹腔内有许多白色硬块,大小从1毫米到约55毫米不等。这些肿块尤其多见于网膜和肠系膜,但在横膈膜、腹膜和肠表面也有发现。经病理诊断,患者患有多发性良性子宫肌瘤。在计算机断层扫描中,右肺下叶也发现了类似的结节。尽管在本病例中使用了囊内肌瘤剥除术,但还是出现了许多寄生性肌瘤,这表明在向患者解释腹腔镜肌瘤切除术时应更加谨慎。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
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