• Fertility and sterility · Mar 2009

    Case Reports

    Parasitic myomas after laparoscopic myomectomy: case report.

    • Jason H Epstein, Edward J Nejat, and Tony Tsai.
    • Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, New York, USA.
    • Fertil. Steril. 2009 Mar 1; 91 (3): 932.e13-4.

    ObjectiveTo report a case of a woman who presented with parasitic myomas 27 months after laparoscopic myomectomy.DesignCase report.SettingUniversity medical center.Patient(S)A 31-year-old G0 woman who had a previous history significant for laparoscopic myomectomy with morcellation 27 months before.Intervention(S)Repeat laparoscopic myomectomy and review of video footage from previous myomectomy.Main Outcome Measure(S)Pathology report.Result(S)Repeat laparoscopic examination revealed two pedunculated and two parasitic myomas. Review of video footage from initial surgery revealed pieces of myoma dispersed within pelvis during morcellation.Conclusion(S)Pieces of initial myoma dispersed within the pelvis during morcellation may have developed into parasitic myomas.

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