Laparoscopic Myomectomy of a Symptomatic Uterine Leiomyoma in a 15-Year-Old Adolescent.
BACKGROUND
Although adnexal masses and ovarian torsion are common causes of acute pain in the female adolescent, fibroids are an uncommon etiology and little is reported in the literature. Because of the rarity of adolescent leiomyomas, the best surgical management is still unknown.


METHODS
To our knowledge, this is the first case report of a laparoscopic myomectomy in the adolescent population. The removed fibroid is one of the largest documented cases of uterine leiomyoma in adolescents.


CONCLUSIONS
Degenerative fibroids, albeit less common, should be kept on the differential diagnosis, as a possible cause of pelvic mass and pain in the adolescent population. Fibroids in the adolescent patient, like the adult, can be managed with minimally invasive surgery with excellent clinical outcomes.
Drexel University College of Medicine, Philadelphia, Pennsylvania. Electronic address: Ps535@cornell.edu.
Parsa P
PP
Salehi
Kaiser Permanente, UC Davis Medical Center, Roseville, California.
Nichole
N
Tyson
D000293:Adolescent; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*
Adolescent; Degenerating fibroids; Fibroid; Laparoscopy; Leiomyoma; Myomectomy; Pain; Teenager; Uterine leiomyoma