Parasitic leiomyoma: a case report

To report a case of parasitic myomas and examine associations and risk factors, a 35 years old lady presented with a lump in the lower abdomen in Bangladesh Medical College Hospital, Dhaka. Retrospective review was performed based on indications for surgery; types of prior surgeries; prior use of morcellation; and locations of parasitic myomas. Pathologic confirmation of specimen was obtained. Surgery performed by laparotomy. Myoma was found occupying the pelvis and upper abdomen. Parasitic myomas may occur spontaneously as pedunculated subserosal myomas lose their uterine blood supply and parasitize to other organs. More parasitic myomas may be iatrogenically created after surgery, particularly surgery using morcellation techniques. With increasing rates of laparoscopic procedures, surgeons should be aware of the potential for iatrogenic parasitic myoma formation, their likely increasing frequency, and intraoperative precautions should be taken to minimize occurrence of the type of myoma.