Uterine leiomyoma particle growing in an abdominal-wall incision after laparoscopic retrieval.
BACKGROUND
As laparoscopic myomectomy gains acceptance among patients and pelvic surgeons, new laparoscopic techniques create a risk for complications that were not encountered in classic laparotomy myomectomy. Report of such complications will allow surgeons to undertake appropriate steps to prevent them.


METHODS
Fragments of uterine leiomyomas unintentionally implanted and growing in abdominal-wall incisions after laparoscopic myomectomy presented clinically with incisional pain and an abdominal-wall mass of increasing size. Diagnosis was confirmed by the histology, and treatment was achieved by excision.


CONCLUSIONS
In the differential diagnosis of a progressively increasing incisional mass and pain after laparoscopic myomectomy, inadvertent implantation and growing particles of uterine leiomyomas should be considered when fragmented tumors are removed through a trocar sleeve.
Ostrzenski
A
A
Department of Gynecology and Obstetrics, Howard University College of Medicine, Washington, DC, USA.
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000601:surgery*; D009366:Neoplasm Seeding; D014594:Uterine Neoplasms / Q000601:surgery*