Bowel resection for iatrogenic parasitic fibroids with preoperative investigations suggestive of malignancy  

Oleh:

Aust, Thomas ; Gale, Philippa ; Cario, Gregory ; Robertson, Gregory

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 01 (Jul. 2011), page e1-e3.
Topik: Iatrogenic parasitic fibroids; laparoscopic hysterectomy; morcellation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids. Design Case report. Setting Tertiary-level private hospital. Patient(s) Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids. Intervention(s) Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis. Main Outcome Measure(s) Histology of masses showed adenomyoma. Result(s) There was no evidence of malignancy. Conclusion(s) 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.

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