Delayed presentation of a paracytic myoma fragment after laparoscopic supracervical hysterectomy requiring small bowel resection. A case report.
BACKGROUND
Uterine myomas are commonly treated with laparoscopic myomectomy or hysterectomy. Morcellation is often required to evacuate tissue through the laparoscopic incisions using a designated morcellator or through extension of a port site with self-retaining retractor and a cold scalpel. Both techniques carry a risk of inadvertently leaving tissue fragments behind.


METHODS
We present a case of a parasitic fragment of morcellated uterus that became adherent to the small bowel, resulting in severe abdominal pain and requiring exploratory laparotomy and small bowel resection 5 months later.


CONCLUSIONS
Gynecologic surgeons should be aware of possible delayed postoperative complications that can result from parasitic myoma fragments inadvertently left behind followinig morcellation.
M Brigid
MB
Holloran-Schwartz
Mark
M
Fierro
April
A
Tritto
D015746:Abdominal Pain; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy; D009214:Myoma / Q000503:physiopathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000503:physiopathology / Q000601:surgery