Fertility and sterility · 2011
Bowel resection for iatrogenic parasitic fibroids with preoperative investigations suggestive of malignancy.
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Aust Thomas, Gale Philippa, Cario Gregory, Robertson Gregory
Аннотация
OBJECTIVE: To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids.
DESIGN: Case report.
SETTING: Tertiary-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.
DESIGN: Case report.
SETTING: Tertiary-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.