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Parasitic leiomyoma causing small bowel perforation: A case report.
Anya Laibangyang1, Cassandra Law1, Gunjan Gupta2
1Departments of Obstetrics, Gynecology, and Reproductive Biology, Danbury Hospital, Danbury, CT, United States of America.
Case Reports in Women'S Health
|August 25, 2021
Summary
Parasitic leiomyomas, rare tumors outside the uterus, can develop after surgery. This case highlights their potential to cause dangerous small bowel obstruction and perforation.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
- Abdominal Imaging
Background:
- Parasitic leiomyomas are uncommon extra-uterine tumors.
- They can arise following myomectomy or morcellation procedures.
- These tumors present diagnostic and management challenges.
Observation:
- A 63-year-old woman with a history of abdominal myomectomy presented with severe abdominal distension and pain.
- Delayed medical care due to pandemic fears exacerbated her condition.
- A large, 42 cm parasitic leiomyoma was discovered attached to the small bowel.
Findings:
- The parasitic leiomyoma caused significant small bowel obstruction.
- The tumor also led to bowel perforation, a life-threatening complication.
- Surgical intervention was required to address the obstruction and perforation.
Implications:
- This case underscores the critical need for vigilant surveillance of patients with a history of uterine fibroid surgery.
- Early diagnosis and intervention are crucial to prevent severe complications like small bowel obstruction and perforation from parasitic leiomyomas.
- Increased awareness among clinicians regarding parasitic leiomyomas is essential for timely patient management.
