Flórez Peña Edgar Germán, Angarita Africano Ana Milena, Cardoso Medina Byron, Medina Mónica, López Rocío del Pilar
Universidad del Bosque, Bogotá, Colombia.
Ginecol Obstet Mex. 2012 Oct;80(10):659-62.
Parasitic myomas are rare and their ethiopathogenesis is uncertain. They may develop from a detached fibroid adhering to an extrauterine surface in order to obtain new blood supply. It has been stated that they form from uterine or myoma fragments left behind after morcellation in the abdominopelvic cavity and thus are called "iatrogenic". Surgeons must be aware of this recently reported complication related to the increasing number of laparoscopic procedures. Thorough inspection and washing of the abdominal cavity are recommended. A case of a patient with iatrogenic parasitic myomas, which appeared six years after a laparoscopic supracervical hysterectomy involving a morcellator, is reported.
寄生性肌瘤较为罕见，其发病机制尚不确定。它们可能由附着于子宫外表面的脱落肌瘤发展而来，以便获得新的血液供应。有人认为，它们是由腹腔内肌瘤粉碎术后残留的子宫或肌瘤碎片形成的，因此被称为“医源性”。外科医生必须意识到这种与腹腔镜手术数量增加相关的近期报道的并发症。建议对腹腔进行彻底检查和冲洗。本文报告了一例医源性寄生性肌瘤患者的病例，该肌瘤在使用粉碎器的腹腔镜次全子宫切除术后六年出现。
