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Resection of Diffuse Leiomyomas Related to Morcellation: A Rare Case Report
Sri Snehita Reddy Bonthu1, Anish Jomy2, William R Salter3
1Department of Surgery, Texas Christian University Anne Marie Burnett School of Medicine, 1100 W Rosedale Street, Fort Worth, 76104, Texas, USA.
Case Reports in Surgery
|June 8, 2026
Summary
This case study details a rare instance of concurrent benign metastasizing leiomyoma (BML) in the liver and abdominal wall endometriosis (AWE) in a patient with a history of uterine fibroids and prior robotic myomectomy.
Area of Science:
- Gynecology
- Surgical Pathology
- Oncology
Background:
- A 42-year-old woman with a history of uterine fibroids and prior robotic myomectomy presented with extensive uterine fibroids, perihepatic lesions, and an umbilical mass.
- Preoperative imaging and biopsy confirmed benign leiomyomas in the perihepatic lesions, positive for estrogen and progesterone receptors.
Purpose of the Study:
- To report a rare case of concurrent benign metastasizing leiomyoma (BML) and abdominal wall endometriosis (AWE).
- To explore the potential association between these conditions and prior uterine surgery involving morcellation.
Main Methods:
- Multidisciplinary surgical management including total hysterectomy, partial hepatectomy, and abdominal wall resection with reconstruction.
- Histopathologic analysis of resected tissues.
Main Results:
- Histopathology confirmed uterine fibroids, hepatic BML, and abdominal wall endometriosis (AWE).
- The perihepatic lesions were identified as benign leiomyomas, estrogen and progesterone receptor-positive.
Conclusions:
- This case highlights the rare occurrence of concurrent BML and endometriosis.
- Prior uterine surgery, particularly with morcellation, may be associated with the development of these conditions.