Khan Aimal, Shawl Arsalan, Leung Pak Shan
Department of Surgery, Einstein Healthcare Network, Philadelphia, PA, USA.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
J Surg Case Rep. 2018 Jul 3;2018(7):rjy164. doi: 10.1093/jscr/rjy164. eCollection 2018 Jul.
Parasitic leiomyomas (PL) are rare intra-abdominal tumors usually found in young women and are considered a type of uterine leiomyomas. They are usually reported in women who underwent laparoscopic morcellation of fibroids and frequently present with symptoms such as abdominal pain and distention. Treatment usually involves en bloc removal of the mass after dividing its blood supply from the host organ. In this case report, we describe the case of a middle-aged female who developed high-grade small bowel obstruction due to compression from a large PL with blood supply from the greater omentum. The patient underwent operative resection of the PL and subsequently fared very well. Meticulous attention to blood supply and attachments of PL to host organs is necessary for safe resection.
寄生性平滑肌瘤（PL）是罕见的腹腔内肿瘤，通常见于年轻女性，被认为是子宫平滑肌瘤的一种类型。它们通常在接受子宫肌瘤腹腔镜粉碎术的女性中报道，并且经常出现腹痛和腹胀等症状。治疗通常包括在切断其与宿主器官的血供后整块切除肿块。在本病例报告中，我们描述了一名中年女性的病例，该女性因来自大网膜供血的巨大PL压迫而发生高位小肠梗阻。患者接受了PL的手术切除，随后恢复良好。为了安全切除，必须仔细关注PL与宿主器官的血供和附着情况。
