Nederlands tijdschrift voor geneeskunde · 2013
[A parasitic myoma: unexpected finding after laparoscopic hysterectomy].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Verberg Marieke F G, Boomsma Carolien M, Pijnenborg Johanna M A
Аннотация
UNLABELLED: During laparoscopic hysterectomy the uterus can be morcellated in order to remove it from the abdominal cavity. This technique carries a risk of tissue fragments being retained in the abdomen with recurring growth in the future.
CASE DESCRIPTION: A 48-year-old woman with a history of hysterectomy presented with a swelling in her lower abdomen. Ultrasound investigation showed a solid tumour with a benign appearance. Differential diagnosis included an ovarian tumour or leiomyoma. Laparoscopic investigation revealed a preperitoneal tumour which was removed by laparotomy. Histologic examination showed a benign leiomyoma.
CONCLUSION: A patient with a history of hysterectomy is less likely to present with a myoma, however, in this case the diagnosis was correct. Due to the increasing use of a morcellator in laparoscopic hysterectomy in recent decades, we will be confronted with the diagnosis 'parasitic myoma' more frequently. Patients will have to be informed of the risk of this complication.
CASE DESCRIPTION: A 48-year-old woman with a history of hysterectomy presented with a swelling in her lower abdomen. Ultrasound investigation showed a solid tumour with a benign appearance. Differential diagnosis included an ovarian tumour or leiomyoma. Laparoscopic investigation revealed a preperitoneal tumour which was removed by laparotomy. Histologic examination showed a benign leiomyoma.
CONCLUSION: A patient with a history of hysterectomy is less likely to present with a myoma, however, in this case the diagnosis was correct. Due to the increasing use of a morcellator in laparoscopic hysterectomy in recent decades, we will be confronted with the diagnosis 'parasitic myoma' more frequently. Patients will have to be informed of the risk of this complication.