title: [Long-term complication of laparoscopic uterine morcellation: iatrogenic parasitic myomas].
abstract: OBJECTIVE
  Identify parasitic myomas following uterine laparoscopic morcellation and describe the circumstances of diagnosis, management, potential consequences and possible preventive measures.
  
  
  METHODS
  Retrospective study of observed cases in a university hospital between 2000 and 2012 and review of the literature.
  
  
  RESULTS
  Five cases were identified in our department. Pelvic pain was the main symptom in three patients while one was asymptomatic and one consulted for a cystocele. The average time to diagnosis was 88 months (3-192). Surgical removal was performed in four cases by laparoscopy and vaginally for one case. Histological examination showed typical leiomyomas, but in one case, an atypical leiomyoma with limited experience for a typical primary lesion. In the literature, there are about 50 cases. One required a bowel resection and for another one, after subtotal hysterectomy, histological examination showed complex atypical endometrial hyperplasia for normal endometrium initially.
  
  
  CONCLUSIONS
  This study should draw the attention of laparoscopic surgeon. It emphasizes, beyond a potential reoperation, a risk of atypical histological secondary processing. Surgical resection should be discussed even in case of asymptomatic lesions.
authors: Service de gynécologie obstétrique et reproduction humaine, CHU de Clermont-Ferrand, CHU Estaing, gynécologie A, 1, place Lucie-Aubrac, 63100 Clermont-Ferrand, France. Electronic address: brabischong@chu-clermontferrand.fr.
authors: B
authors: B
authors: Rabischong
authors: M
authors: M
authors: Beguinot
authors: C
authors: C
authors: Compan
authors: N
authors: N
authors: Bourdel
authors: A-G
authors: AG
authors: Kaemmerlen
authors: J-L
authors: JL
authors: Pouly
authors: M
authors: M
authors: Canis
authors: G
authors: G
authors: Mage
authors: R
authors: R
authors: Botchorishvili
mesh_terms: D000328:Adult; D004714:Endometrial Hyperplasia / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D016239:MEDLINE; D008875:Middle Aged; D009214:Myoma / Q000473:pathology* / Q000601:surgery; D017699:Pelvic Pain; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Atypical myoma; Laparoscopic morcellation; Morcellateur; Morcellation cœlioscopique; Morcellator; Myome atypique; Myome parasitique; Parasitic myoma