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Uterine leiomyoma particle growing in an abdominal-wall incision after laparoscopic retrieval
1Department of Gynecology and Obstetrics, Howard University College of Medicine, Washington, DC, USA.
Background:
As laparoscopic myomectomy gains acceptance among patients and pelvic surgeons, new laparoscopic techniques create a risk for complications that were not encountered in classic laparotomy myomectomy. Report of such complications will allow surgeons to undertake appropriate steps to prevent them.
Case:
Fragments of uterine leiomyomas unintentionally implanted and growing in abdominal-wall incisions after laparoscopic myomectomy presented clinically with incisional pain and an abdominal-wall mass of increasing size. Diagnosis was confirmed by the histology, and treatment was achieved by excision.
Conclusion:
In the differential diagnosis of a progressively increasing incisional mass and pain after laparoscopic myomectomy, inadvertent implantation and growing particles of uterine leiomyomas should be considered when fragmented tumors are removed through a trocar sleeve.
