Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand

Uterine leiomyoma is the most common benign tumour of the uterus in women of reproductive age. When removed surgically, a mini-invasive procedure is preferentially used (laparoscopic or robotic) and the extraction of the specimen can be managed by power morcellation. In this consecutive case-series,...

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Main Authors: Shahzia Lambat Emery, Nicola Pluchino, Antonella Martino, Fabio Mauri, Patrick Petignat, Jean Dubuisson
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1101078/full
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author Shahzia Lambat Emery
Nicola Pluchino
Antonella Martino
Fabio Mauri
Patrick Petignat
Jean Dubuisson
author_facet Shahzia Lambat Emery
Nicola Pluchino
Antonella Martino
Fabio Mauri
Patrick Petignat
Jean Dubuisson
author_sort Shahzia Lambat Emery
collection DOAJ
description Uterine leiomyoma is the most common benign tumour of the uterus in women of reproductive age. When removed surgically, a mini-invasive procedure is preferentially used (laparoscopic or robotic) and the extraction of the specimen can be managed by power morcellation. In this consecutive case-series, we present three cases of parasitic leiomyoma that appeared following previous surgical management of leiomyoma using the technique of laparoscopic myomectomy with uncontained power morcellation. The time frame in between the initial surgery and the diagnosis of the parasitic leiomyoma was 5.7 years. All three patients were diagnosed with endometriosis: 2 cases prior to the initial surgery and 1 case after the initial surgery. One hypothesis could be that, due to pelvic inflammation, endometriosis is a risk factor for iatrogenic parasitic leiomyoma development in case of uncontained morcellation of leiomyoma during myomectomy.
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spelling doaj.art-7cefaa62efdf4e69a8c0b6ee65d52ab52023-03-03T06:19:01ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-03-011010.3389/fsurg.2023.11010781101078Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible handShahzia Lambat EmeryNicola PluchinoAntonella MartinoFabio MauriPatrick PetignatJean DubuissonUterine leiomyoma is the most common benign tumour of the uterus in women of reproductive age. When removed surgically, a mini-invasive procedure is preferentially used (laparoscopic or robotic) and the extraction of the specimen can be managed by power morcellation. In this consecutive case-series, we present three cases of parasitic leiomyoma that appeared following previous surgical management of leiomyoma using the technique of laparoscopic myomectomy with uncontained power morcellation. The time frame in between the initial surgery and the diagnosis of the parasitic leiomyoma was 5.7 years. All three patients were diagnosed with endometriosis: 2 cases prior to the initial surgery and 1 case after the initial surgery. One hypothesis could be that, due to pelvic inflammation, endometriosis is a risk factor for iatrogenic parasitic leiomyoma development in case of uncontained morcellation of leiomyoma during myomectomy.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1101078/fullparasitic leiomyomasurgical leiomyoma treatmentmorcellationendometriosisendobag
spellingShingle Shahzia Lambat Emery
Nicola Pluchino
Antonella Martino
Fabio Mauri
Patrick Petignat
Jean Dubuisson
Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
Frontiers in Surgery
parasitic leiomyoma
surgical leiomyoma treatment
morcellation
endometriosis
endobag
title Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
title_full Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
title_fullStr Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
title_full_unstemmed Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
title_short Case report Iatrogenic parasitic leiomyoma: the surgeon's invisible hand
title_sort case report iatrogenic parasitic leiomyoma the surgeon s invisible hand
topic parasitic leiomyoma
surgical leiomyoma treatment
morcellation
endometriosis
endobag
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1101078/full
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