title: Torsion of a parasitic myoma that developed after abdominal myomectomy.
abstract: Iatrogenic parasitic myomas are rare. The condition is defined by the presence of multiple smooth-muscle tumorous nodules in the peritoneal cavity. This may be attributable to seeding of myoma particles during uterine surgery. The clinical course is usually indolent. The disease is often asymptomatic and is usually discovered only incidentally. A 38-year-old woman who had undergone abdominal myomectomy 7 months prior presented with acute abdominal pain and a huge pelvic mass. We performed exploratory laparotomy. A parasitic mass 17 cm in diameter with a twisted omental pedicle was identified. En bloc excision of the mass and omentum was performed, followed by total abdominal hysterectomy. Histopathological examination of multiple sections revealed features compatible with an infarcted leiomyoma. Thus, we present a very rare case of an iatrogenic, rapidly growing parasitic myoma complicated by omental torsion (which caused the acute abdominal pain). We also offer a literature review.
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: In Ae
authors: IA
authors: Cho
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Jong Chul
authors: 0000-0003-0919-0800
authors: JC
authors: Baek
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Ji Kwon
authors: JK
authors: Park
authors: Department of Pathology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Dae Hyun
authors: DH
authors: Song
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Wan Ju
authors: WJ
authors: Kim
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Yoon Kyoung
authors: YK
authors: Lee
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Ji Eun
authors: JE
authors: Park
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Jeong Kyu
authors: JK
authors: Shin
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Won Jun
authors: WJ
authors: Choi
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Soon Ae
authors: SA
authors: Lee
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Jong Hak
authors: JH
authors: Lee
authors: Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea.; Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
authors: Won Young
authors: WY
authors: Paik
keywords: Abdominal pain; Omental torsion; Parasitic myoma