A rare case of parasitic fibroid presenting as abdominopelvic mass – A surgical dilemma

Abstract

Parasitic fibroids (PFs) are rare extrauterine fibroids classified as Type 8 leiomyomas as per The International Federation of Gynecology and Obstetrics (FIGO) classification, without uterine myometrial involvement or attachment. Due to its very low incidence, unusual locations, and atypical presentations, these fibroids cause lot of clinical dilemmas to treating physicians. Hereby, we are presenting an interesting case of PF which is presented to us as a case of abdominopelvic mass. Here, we learned that whenever female patients with abdominal mass and prior surgical history, PF should be considered possibilities to avoid on-table intraoperative surprises where a multidisciplinary surgical team may be required depending upon location and organ involved. We were fortunate that our PF was attached to the omentum and sigmoid colon by connective tissue and feeding vessels and could be removed without much deliberation.