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VOLUME 8 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Giant Parasitic Fibroid Mimicking Gist: A Clinical Dilemma

Vilas Namdev Kurude, Venkat Gitte, Aastha Raheja, Anamika Kejriwal, Shruti Raut

Keywords : Case report, Morcellation, Myomectomy, Secondary parasitic fibroids

Citation Information : Kurude VN, Gitte V, Raheja A, Kejriwal A, Raut S. Giant Parasitic Fibroid Mimicking Gist: A Clinical Dilemma. J South Asian Feder Menopause Soc 2020; 8 (1):49-51.

DOI: 10.5005/jp-journals-10032-1198

License: CC BY-NC 4.0

Published Online: 18-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Parasitic fibroids are a rare type of fibroids without direct uterine attachment. They pose a diagnostic dilemma and often present atypically. Case description: We report a rare case of large secondary parasitic fibroid in a 24 year unmarried female who presented with history of lump abdomen for 6 months. She had history of laparoscopic myomectomy done 2.5 years back for the same complaint with histopathology report suggestive of leiomyoma. On examination, it was found to be subserosal pedunculated fibroid. All the tumor markers were negative except CA 125 which was 225 IU/mL. Exploratory laparotomy was done. Uterus was normal size and seen separately. Bilateral tubes and ovaries were normal. A mass of size 30 × 22 × 15 cm, firm in consistency occupying all the quadrants of abdomen, was observed. It had no attachment to the uterus or to the bowel. Mass weighing 6.5 kg was removed completely and sent for histopathology. HPE report confirmed leiomyoma. Her postoperative period was uneventful. Conclusion: If the patient had prior history of myomectomy and mass is separate from the uterus with its blood supply away from uterus, diagnosis of parasitic leiomyoma should be considered. Clinical significance: During morcellation procedures, a thorough inspection and washing of peritoneal cavity must be carried out, and endoscopic bag should be used to prevent secondary parasitic leiomyoma.


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