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Multimodal imaging for diagnosis and management of parasitic peritoneal myoma with myxoid degeneration after laparoscopic-assisted myomectomy with electric power morcellation.

Authors
  • Takeda, Akihiro1
  • Koike, Wataru2
  • Watanabe, Kazuko3
  • 1 Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Japan. , (Japan)
  • 2 Department of Diagnostic Radiology, Gifu Prefectural Tajimi Hospital, Tajimi, Japan. , (Japan)
  • 3 Department of Pathology, Gifu Prefectural Tajimi Hospital, Tajimi, Japan. , (Japan)
Type
Published Article
Journal
The journal of obstetrics and gynaecology research
Publication Date
Mar 08, 2018
Identifiers
DOI: 10.1111/jog.13621
PMID: 29516586
Source
Medline
Keywords
License
Unknown

Abstract

A 45-year-old multipara woman was referred due to the rapid enlargement of an asymptomatic pelvic mass that was detected during a regular check up. She had undergone laparoscopic-assisted myomectomy 15 years previously. At the time, the uncontained extraction of an intraligamental myoma with electric power morcellation had been performed. Multimodal imaging revealed a heterogeneous mass in the vesicouterine pouch that was found to be supplied by the left gastro-omental and superior vesical arteries. Although malignancy could not be completely denied, parasitic peritoneal myoma with myxoid degeneration was the most probable diagnosis. Single-port laparoscopic excision of the peritoneal mass was performed along with laparoscopic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy. The excised peritoneal mass was placed into a retrieval bag and extracted through the vagina. The pathological diagnosis was a parasitic peritoneal myoma with myxoid degeneration. The postoperative course was uneventful, and there was no recurrence of parasitic myoma in the 1-year follow up after surgery.

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