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,...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1811160755726188544 |
---|---|
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. |
first_indexed | 2024-04-10T06:02:48Z |
format | Article |
id | doaj.art-7cefaa62efdf4e69a8c0b6ee65d52ab5 |
institution | Directory Open Access Journal |
issn | 2296-875X |
language | English |
last_indexed | 2024-04-10T06:02:48Z |
publishDate | 2023-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Surgery |
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 |
work_keys_str_mv | AT shahzialambatemery casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand AT nicolapluchino casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand AT antonellamartino casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand AT fabiomauri casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand AT patrickpetignat casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand AT jeandubuisson casereportiatrogenicparasiticleiomyomathesurgeonsinvisiblehand |