Fujita Maako, Mitsui Toshihito, Kunieda Sakurako, Fukui Michika, Kakudo Natsuko
Department of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, JPN.
Cureus. 2024 Aug 1;16(8):e65924. doi: 10.7759/cureus.65924. eCollection 2024 Aug.
A parasitic leiomyoma has no connection with the uterus itself and obtains its blood supply from the surrounding tissues. A parasitic leiomyoma that develops iatrogenically is called an iatrogenic parasitic leiomyoma. Clinical reports on parasitic leiomyoma are common in gynecology but not in plastic surgery. We report a rare case of an iatrogenic parasitic leiomyoma in a 46-year-old woman who was referred to our plastic surgery department. She presented with the main complaint of a subcutaneous mass in the lower right abdomen and had a history of laparoscopic myomectomy eight years ago. Magnetic resonance imaging showed two masses in the subcutaneous tissue of the lower right abdomen and the posterior rectus abdominis. The excision of these masses was performed through an abdominal wall incision. Histopathological examination revealed that the extracted mass was a leiomyoma. Plastic surgeons must keep in mind the appropriate management of rare cases of parasitic leiomyoma.
寄生性平滑肌瘤与子宫本身并无关联，其血液供应来自周围组织。医源性发生的寄生性平滑肌瘤称为医源性寄生性平滑肌瘤。关于寄生性平滑肌瘤的临床报告在妇科较为常见，但在整形手术领域并不多见。我们报告了一例罕见的医源性寄生性平滑肌瘤病例，患者为一名46岁女性，转诊至我们的整形手术科室。她的主要诉求是右下腹部皮下肿块，八年前有腹腔镜子宫肌瘤切除术史。磁共振成像显示右下腹部皮下组织和腹直肌后方有两个肿块。通过腹壁切口对这些肿块进行了切除。组织病理学检查显示切除的肿块为平滑肌瘤。整形外科医生必须牢记对罕见的寄生性平滑肌瘤病例的恰当处理。
