Portal de Periódicos da CAPES

Bowel resection for iatrogenic parasitic fibroids with preoperative investigations suggestive of malignancy

2011; Elsevier BV; Volume: 96; Issue: 1 Linguagem: Inglês

10.1016/j.fertnstert.2011.04.097

1556-5653

Thomas Aust, Philippa Gale, Gregory M. Cario, Gregory Robertson,

Gynecological conditions and treatments

ObjectiveTo describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids.DesignCase report.SettingTertiary-level private hospital.Patient(s)Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids.Intervention(s)Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis.Main Outcome Measure(s)Histology of masses showed adenomyoma.Result(s)There was no evidence of malignancy.Conclusion(s)Morcellation of the fibroids during a total laparoscopic hysterectomy likely left fragments that formed iatrogenic parasitic fibroids, which led to the subsequent laparotomy and bowel resection for potential malignancy. To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids. Case report. Tertiary-level private hospital. Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids. Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis. Histology of masses showed adenomyoma. There was no evidence of malignancy. Morcellation of the fibroids during a total laparoscopic hysterectomy likely left fragments that formed iatrogenic parasitic fibroids, which led to the subsequent laparotomy and bowel resection for potential malignancy.