Unusual Case of a Parasitic Extra-Uterine Leiomyoma Presenting With Lower Abdominal Pain.

Autor: Micha G; Department of Anesthesiology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Galatis DG; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Kalopita K; Department of Anesthesiology and Pain Medicine, 'Alexandra' General Hospital of Athens, Athens, GRC., Strongylos A; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Benekos C; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Kalaitzi K; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Karachalios PK; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Anifantaki F; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Dalivigkas I; Department of Obstetrics and Gynecology, Attikon Hospital, Athens, GRC., Gripiotis I; Department of Anesthesiology, General and Maternity Hospital of Athens, Athens, GRC., Kiriakopoulos N; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC., Monastiriotis A; V Department of Obstetrics/Gynecology, Helena Venizelou General and Maternity Hospital, Athens, GRC.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Oct 10; Vol. 14 (10), pp. e30141. Date of Electronic Publication: 2022 Oct 10 (Print Publication: 2022).
DOI: 10.7759/cureus.30141
Abstrakt: Parasitic fibroids are a rare type of extrauterine benign tumors that may be spontaneous or iatrogenic in origin and often difficult to diagnose due to their various presentations. We report an unusual case of a parasitic leiomyoma in a 33-year-old nulliparous woman with remote pelvic history who presented to our institution with sudden-onset lower abdominal pain. We performed an exploratory laparotomy, which revealed a 6.3x4.6 cm mass in the space of the adnexa of the right parametrium. Histopathological examination revealed features compatible with a leiomyoma. It is clear that physicians need to assess clinical findings and imaging techniques in order to establish a correct diagnosis of parasitic myomas, even when a history of myomectomy or a laparoscopic morcellation is absent.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Micha et al.)
Databáze: MEDLINE