Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.
OBJECTIVE
To report a case of aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.


METHODS
Case report.


METHODS
University hospital.


METHODS
One 27-year-old woman with a newly developed solid mass in the abdominal wall near the minilaparotomic site of a previous laparoscopically assisted myomectomy.


METHODS
Surgical removal of the mass.


METHODS
Histologic examination of the mass.


RESULTS
A newly developed mass measuring approximately 9 cm was surgically removed. The mass was located in the fascial area of abdomen close to the incision site of a previous laparoscopically assisted myomectomy. Histologic diagnosis including Hematoxylin-Eosin staining and immunohistochemistry confirmed that the lesion was compatible with uterine leiomyoma.


CONCLUSIONS
Implantation and growth of uterine leiomyoma fragments after myomectomy is a rare event. However, this complication should be considered as a differential diagnosis when a progressively growing mass is observed at the incision site.
Wada-Hiraike
Osamu
O
Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. osamu.hiraike@gmail.com
Yamamoto
Naoko
N
Osuga
Yutaka
Y
Yano
Tetsu
T
Kozuma
Shiro
S
Taketani
Yuji
Y
D034861:Abdominal Wall; D000328:Adult; D010064:Embryo Implantation / Q000502:physiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000150:complications; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000209:etiology; D011271:Pregnancy, Ectopic / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery