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A case of spontaneous parasitic myoma in a patient without a history of myomectomy treated laparoscopically

Hyo Kyozuka, Toki Jin, Misa Sugeno, Katsunori Kuratsune, Hiroki Ando, Fumihiro Ito, Hajime Odajima, Daisuke Suzuki, Yasuhisa Nomura

Author information

  • Hyo Kyozuka

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Toki Jin

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Misa Sugeno

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Katsunori Kuratsune

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital
    Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health

  • Hiroki Ando

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Fumihiro Ito

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Hajime Odajima

    Department of Obstetrics and Pathology, Ohta nisinouchi Hospital

  • Daisuke Suzuki

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

  • Yasuhisa Nomura

    Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital

Abstract

Parasitic myoma (PM) is a rare disease in which multiple leiomyomas are intraperitoneally formed. Recently, an increasing number of cases due to specimen morcellation during minimally invasive surgery has been reported. We present the first case of a PM identified intraoperatively during laparoscopic hysterectomy. A 40-year-old Japanese multiparous woman presented to our hospital with heavy menstrual bleeding. She had no history of previous surgery. Magnetic resonance imaging showed uterine myomas. As the patient did not wish for further pregnancy, she underwent oral gonadotropin-releasing hormone antagonist therapy followed by a total laparoscopic hysterectomy. Intraoperatively, we identified a thumb-sized tumor on the left side of the peritoneum. Histopathological examination showed evidence of benign leiomyoma.

The cintent of reseach paper

References

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