Parasitic Myoma: A Rare Complication of Laparoscopic Myomectomy

The occurrence of a parasitic myoma is an unusual condition and it is traditionally thought to be a variant of pedunculated subserosal myoma that has become separated from the uterus and received alternative blood supply. However, the prevalence of laparoscopic surgery might have brought a new type of parasitic myoma named iatrogenic parasitic myoma. This type of parasitic myoma raises the question of whether it should be considered as a long-term complication of laparoscopic myomectomy. This report aims to present a case of parasitic myoma in a 38-year-old woman who underwent laparoscopic myomectomy using a morcellator. Due to the prevalence of laparoscopic myomectomies and the risk of spreading unsuspected leiomyosarcoma with morcellation, this case highlights the need for in-bag containment morcellation to extract specimens. At the same time, a careful inspection and washing of the abdominopelvic cavity at the end of the surgery should be performed to minimize the complication of open power morcellation.