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Fibroids return: Parasitic myomas 13 years post-hysterectomy with power morcellator
Taylore King1, Adria Suarez Mora2
1Cleveland Clinic Florida, Obstetrics and Gynecology Institute, Division of Complex Benign Gynecology, Weston, FL.
Journal of Minimally Invasive Gynecology
|August 2, 2026
Summary
A rare parasitic fibroid was found 13 years after a hysterectomy using a power morcellator. This case underscores the need for specimen containment during surgery to prevent such post-operative complications.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Uterine fibroids are common benign tumors.
- Hysterectomy is a common surgical procedure for symptomatic fibroids.
- Power morcellation is a surgical technique used for tissue extraction.
Purpose of the Study:
- To report a rare case of a parasitic fibroid.
- To highlight the importance of surgical specimen containment.
- To emphasize considering parasitic fibroids in the differential diagnosis of pelvic masses.
Main Methods:
- Case report of a patient with a pelvic mass.
- Review of pre-operative MRI and intra-operative findings.
- Histopathological confirmation of leiomyoma.
Main Results:
- A benign leiomyoma (parasitic fibroid) was incidentally discovered 13 years post-supracervical hysterectomy.
- The mass was successfully removed surgically.
- The patient had a history of uterine fibroids treated with power morcellation.
Conclusions:
- Specimen containment during power morcellation is crucial to prevent parasitic fibroid formation.
- Parasitic fibroids should be included in the differential diagnosis for pelvic masses in patients with a history of gynecologic surgery, especially after morcellation.
