Parasitic myoma after supracervical laparoscopic histerectomy

  • Maurício Paulo Angelo Mieli Department of Gynecology - Hospital Universitário - Universidade de São Paulo, São Paulo/SP
  • Ana Maria Sampaio Moreira Grell Department of Gynecology - Hospital Israelita Albert Einstein, São Paulo/SP
  • Ricardo dos Santos Simões Department of Gynecology - Hospital Universitário - Universidade de São Paulo, São Paulo/SP
  • Leandro Accardo de Mattos Laboratories - DIGIMAGEM e RDO Diagnósticos Médicos - São Paulo/SP
Keywords: Laparoscopy, Myoma, Histerectomy, Laparoscopy/adverse effects, Laparoscopy/ methods, Leiomyoma/surgery.

Abstract

Parasitic myoma is a condition defined as a myoma of extrauterine nourishing. It may occur spontaneously or as a consequence of surgical iatrogeny, after myomectomy or videolaparoscopic supracervical hysterectomy, due to remaining residues of uterine tissue fragments in the pelvic cavity after morcellation. The authors describe two cases in which the patients were submitted to videolaparoscopic supracervical hysterectomy and uterine body removal through morcellation. The sites of development of the parasitic myomas were next to the cervix stump in Case 1, and next to the right round ligament in Case 2. These parasitic myomas were removed by videolaparoscopy. After myomectomies or videolaparoscopic supracervical hysterectomies followed by uterine fragments removal from the pelvic cavity through morcellation, meticulous searching for residues or fragments of uterine tissue is mandatory to prevent the occurrence of parasitic myomas.

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Published
2013-06-25
How to Cite
Mieli, M., Grell, A. M., Simões, R., & Mattos, L. (2013). Parasitic myoma after supracervical laparoscopic histerectomy. Autopsy and Case Reports, 3(2), 45-49. https://doi.org/10.4322/acr.%y.58914
Section
Article / Clinical Case Report