ACCIDENTAL INTRAOPERATIVE FINDING OF PARASITIC FIBROIDS IN THE MESENTERY OF A MIDDLE-AGED WOMAN

Area of Science:

• Gynecology
• Surgical Pathology

Background:

• Uterine fibroids (myomas) are common benign tumors of the female genital tract.
• Parasitic fibroids, rare tumors occurring outside the uterus, are often incidental findings.
• This report focuses on a rare case of multiple parasitic fibroids coexisting with primary uterine fibroids.

Purpose of the Study:

• To report a case of histologically confirmed multiple parasitic fibroids in a 39-year-old woman.
• To discuss the management and surgical challenges associated with unanticipated parasitic fibroids.
• To emphasize the importance of a high index of suspicion for parasitic fibroids in women with uterine fibroids.

Main Methods:

• Case report of a 39-year-old woman with a history of abdominal swelling and pain.
• Diagnostic imaging included abdominal ultrasonography.
• Surgical intervention involved abdominal myomectomy.

Main Results:

• Histological confirmation of multiple parasitic fibroids coexisting with uterine fibroids.
• Intraoperative findings revealed multiple uterine fibroid nodules (1670g) and parasitic fibroids on the colon serosa.
• The largest parasitic fibroid measured 3.5 x 2cm.

Conclusions:

• Parasitic fibroids are rare but should be considered in women with uterine fibroids, especially those with a history of abdominal surgery.
• Multidisciplinary care is essential for managing complex cases involving parasitic fibroids.
• A high index of suspicion and thorough preoperative evaluation are recommended for surgical planning in patients with multiple uterine fibroids.