[A parasitic myoma: unexpected finding after laparoscopic hysterectomy]
SourceNederlands Tijdschrift voor Geneeskunde, 157, 52, (2013), pp. A6683
Article / Letter to editor
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Nederlands Tijdschrift voor Geneeskunde
SubjectONCOL 5: Aetiology, screening and detection
CASE DESCRIPTION: A 48-year-old woman with a history of hysterectomy presented with a swelling in her lower abdomen. Ultrasound investigation showed a solid tumour with a benign appearance. Differential diagnosis included an ovarian tumour or leiomyoma. Laparoscopic investigation revealed a preperitoneal tumour which was removed by laparotomy. Histologic examination showed a benign leiomyoma. CONCLUSION: A patient with a history of hysterectomy is less likely to present with a myoma, however, in this case the diagnosis was correct. Due to the increasing use of a morcellator in laparoscopic hysterectomy in recent decades, we will be confronted with the diagnosis 'parasitic myoma' more frequently. Patients will have to be informed of the risk of this complication.
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