Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.

OBJECTIVE

To report a case of aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): One 27-year-old woman with a newly developed solid mass in the abdominal wall near the minilaparotomic site of a previous laparoscopically assisted myomectomy.

INTERVENTION(S): Surgical removal of the mass.

MAIN OUTCOME MEASURE(S): Histologic examination of the mass.

RESULT(S): A newly developed mass measuring approximately 9 cm was surgically removed. The mass was located in the fascial area of abdomen close to the incision site of a previous laparoscopically assisted myomectomy. Histologic diagnosis including Hematoxylin-Eosin staining and immunohistochemistry confirmed that the lesion was compatible with uterine leiomyoma.

CONCLUSION(S): Implantation and growth of uterine leiomyoma fragments after myomectomy is a rare event. However, this complication should be considered as a differential diagnosis when a progressively growing mass is observed at the incision site.