title: Bowel resection for iatrogenic parasitic fibroids with preoperative investigations suggestive of malignancy.
abstract: OBJECTIVE
  To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary-level private hospital.
  
  
  METHODS
  Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids.
  
  
  METHODS
  Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis.
  
  
  METHODS
  Histology of masses showed adenomyoma.
  
  
  RESULTS
  There was no evidence of malignancy.
  
  
  CONCLUSIONS
  Morcellation of the fibroids during a total laparoscopic hysterectomy likely left fragments that formed iatrogenic parasitic fibroids, which led to the subsequent laparotomy and bowel resection for potential malignancy.
authors.affiliation: Sydney Women's Endosurgery Centre, St. George Private Hospital, New South Wales, Sydney, Australia. tomaust@doctors.org.uk
authors.forename: Thomas
authors.initials: T
authors.lastname: Aust
authors.forename: Philippa
authors.initials: P
authors.lastname: Gale
authors.forename: Gregory
authors.initials: G
authors.lastname: Cario
authors.forename: Gregory
authors.initials: G
authors.lastname: Robertson
mesh_terms: D018194:Adenomyoma / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery*; D000328:Adult; D003106:Colon / Q000469:parasitology / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007411:Intestinal Diseases, Parasitic / Q000175:diagnosis / Q000601:surgery*; D007889:Leiomyoma / Q000150:complications / Q000469:parasitology* / Q000601:surgery*; D011300:Preoperative Care