Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles


Wandering Fibroid Presented as Acute Abdomen: A Rare Case with Diagnostic Dilemma

Preeti Vashistha, Mayank Sharma, Bhavya Gupta, Mariyam Haq

Keywords : Case report, Diagnostic dilemma, Extrauterine fibroid, Fallopian tube torsion, Wandering fibroid

Citation Information : Vashistha P, Sharma M, Gupta B, Haq M. Wandering Fibroid Presented as Acute Abdomen: A Rare Case with Diagnostic Dilemma. J South Asian Feder Obs Gynae 2023; 15 (4):478-479.

DOI: 10.5005/jp-journals-10006-2292

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Fibroids are the most commonly occurring benign uterine tumor in the reproductive phase of a woman's life. Wandering fibroid (Parasitic leiomyoma) is an extrauterine fibroid with a very low incidence. Case description: We are reporting an interesting case of a 20-year-old, nulliparous female with acute abdomen, who turned out to be a wandering fibroid with torsion of the right fallopian tube intraoperatively. Conclusion: Due to the unusual location of the parasitic fibroids, patients usually present with atypical clinical presentation and it is challenging to reach on accurate diagnosis preoperatively. With the help of a high index of suspicion and radiological imaging like ultrasound, we can reach close to the diagnosis and be able to do the proper management of the patients.

  1. Melmed S, Polonsky KS, Larsen PR, et al. Williams textbook of the endocrinology, 14th edition. Philadelphia: Elsevier; 2019;953–954.
  2. Berek JS. Uterine Fibroids. In: Berek JS (Eds). Berek & Novak's Gynecology, 15th edition, Philadelphia: Lippincott Williams & Wilkins; 2013. pp. 444–445.
  3. Grover A, Bhalla S. Parasitic leiomyoma: A rare complication following laparoscopic myomectomy with review of literature. Curr Med Res Pract 2015;5(6):278–281. Available from:
  4. Lu B, Xu J, Pan Z. Iatrogenic parasitic leiomyoma and leiomyomatosis peritonealis disseminata following uterine morcellation. J Obstet Gynaecol Res 2016;42(8):990–999. DOI: 10.1111/jog.13011.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.