title: Multiple leiomyomas after laparoscopic hysterectomy: report of two cases.
abstract: We report on 2 cases of multiple leiomyomas arising in the pelvis after laparoscopic hysterectomy. One patient underwent laparoscopic myomectomy at 41 years of age and subsequently had a total laparoscopic hysterectomy for myomas 4 years later. Three years post-hysterectomy, she presented with pelvic masses that were removed laparoscopically and were leiomyomas on histopathologic examination. The other patient underwent supracervical hysterectomy for myomas with removal of a parasitic myoma from underneath the dome of the diaphragm. Eight months post-hysterectomy, she came to our office with a pelvic mass with a large myoma that was removed laparoscopically. Disseminated leiomyomas may occur after hysterectomy; and though various theories have been proposed to explain this remarkable entity, none has found universal acceptance. A thorough MEDLINE search did not reveal any reports of large pelvic masses of this size after hysterectomy or their management laparoscopically, and these are probably the first reported cases.
authors.affiliation: Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery (BEAMS Hospital), Mumbai, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Sinha
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Sundaram
authors.forename: Chaitali
authors.initials: C
authors.lastname: Mahajan
authors.forename: Aparna
authors.initials: A
authors.lastname: Sambhus
mesh_terms: D000008:Abdominal Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000601:surgery*; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D014594:Uterine Neoplasms / Q000150:complications* / Q000601:surgery