子宮筋腫の寄生:画像診断、外科的および組織病理学的相関を伴うまれな症例報告
Ekakshi Varshney1, Poonam Sherwani1, Nivedita Sharma1
1Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Abstract:
Parasitic leiomyomas are rare benign smooth muscle tumors that can implant and grow autonomously in the abdominal cavity, often following gynaecological surgeries involving power morcellation. We report a case of a 32-year-old female with a history of laparoscopic myomectomy who presented with recurrent pelvic pain and heaviness. MRI revealed multiple enhancing soft-tissue masses in the peritoneal cavity and anterior abdominal wall, mimicking malignant peritoneal deposits. Surgical excision and histopathological analysis confirmed parasitic leiomyomas. This case highlights the key imaging features, particularly MRI, suggesting parasitic leiomyomas from peritoneal malignancy, thereby guiding appropriate clinical management and avoiding unnecessary interventions.


