Moon Hwa Sook, Koo Ja Seong, Park Sea Hee, Park Gun Sik, Choi Jin Guk, Kim Sang Gap
Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery, Good Moonhwa Hospital, Busan, Korea.
Fertil Steril. 2008 Oct;90(4):1201.e1-2. doi: 10.1016/j.fertnstert.2007.08.068. Epub 2008 Apr 14.
To report a case of parasitic leiomyoma of the abdominal wall after laparoscopic myomectomy.
Case report.
Large medical center.
PATIENT(S): A 31-year-old woman with a newly developed palpable mass in the abdominal wall near the trocar site of a previous laparoscopic myomectomy.
INTERVENTION(S): Excision of the mass.
MAIN OUTCOME MEASURE(S): Histopathologic examination of the mass.
RESULT(S): A mass measuring 3.2 x 2.2 x 2.0 cm was excised. The lesion was located in the subfascial area of the abdominal wall, near the trocar site of a previous laparoscopic myomectomy. Histopathologic examination confirmed leiomyoma.
CONCLUSION(S): This result shows that myoma fragments sometimes are found to be scattered in the abdominal cavity after laparoscopic myomectomy, suggesting that all myoma fragments, however small they may be, must be completely removed.
报告1例腹腔镜子宫肌瘤切除术后腹壁寄生性平滑肌瘤病例。
病例报告。
大型医疗中心。
一名31岁女性,在既往腹腔镜子宫肌瘤切除术的穿刺孔部位附近的腹壁出现一个新可触及的肿块。
切除肿块。
肿块的组织病理学检查。
切除一个大小为3.2×2.2×2.0 cm的肿块。病变位于腹壁筋膜下区域,靠近既往腹腔镜子宫肌瘤切除术的穿刺孔部位。组织病理学检查确诊为平滑肌瘤。
该结果表明,腹腔镜子宫肌瘤切除术后有时会发现肌瘤碎片散落在腹腔内,提示无论肌瘤碎片多么小,都必须完全清除。