[Parasitic fibroma].

Area of Science:

• Gynecologic Surgery
• Pathology
• Surgical Oncology

Background:

• Parasitic myomas are uterine fibroids (fibromyomas) that develop without an anatomical connection to the uterus.
• This rare condition is predominantly reported following laparoscopic morcellation of uterine fibroids.
• Diagnosis often occurs incidentally or when symptoms arise due to mass effect.

Observation:

• A case report details a symptomatic abdominal mass in a patient eight years after a total abdominal hysterectomy.
• Diagnostic imaging revealed a parasitic myoma in proximity to the cecum.
• The patient underwent successful laparoscopic removal of the parasitic myoma.

Findings:

• Parasitic myomas can remain undetected for extended periods after uterine surgery.
• Laparoscopic techniques are feasible for the removal of parasitic myomas, even in cases with a significant delay post-hysterectomy.
• The cecum was identified as the anatomical location of the parasitic myoma in this specific case.

Implications:

• Clinicians should consider parasitic myomas in the differential diagnosis of symptomatic abdominal masses in women with a history of uterine fibroid surgery, particularly after morcellation.
• Delayed presentation of parasitic myomas necessitates a high index of suspicion.
• Laparoscopic management offers a minimally invasive approach for treating these detached fibroids.