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

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.