Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 6 ( November-December, 2022 ) > List of Articles

CASE REPORT

Parasitic Leiomyoma in Pregnancy

Oreekha Amin, Maria Tariq, Bushra Kant

Keywords : Cesarean section, Parasitic leiomyoma, Pregnancy

Citation Information : Amin O, Tariq M, Kant B. Parasitic Leiomyoma in Pregnancy. J South Asian Feder Obs Gynae 2022; 14 (6):750-752.

DOI: 10.5005/jp-journals-10006-2142

License: CC BY-NC 4.0

Published Online: 31-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim and background: Parasitic leiomyoma is an extremely rare variant of uterine leiomyoma occurring outside the uterus. The majority of the patients with uterine leiomyoma are asymptomatic. However, it may present with vague symptoms. Case description: We present a case report of parasitic leiomyoma in a 39-year-old pregnant woman at 38 + 6 weeks who presented with a complaint of discomfort in the lower abdomen. On abdominal ultrasound, there was a large mass measuring about 12.7 cm × 9.6 cm × 13.6 cm in the anterior wall of the uterus in the lower uterine segment on the right side, abutting and indenting the posterior wall of the urinary bladder. During cesarean section, the growth was noted to be hooked to the dome of the bladder instead of the uterus. Histopathological examination confirmed the diagnosis of parasitic leiomyoma. Clinical significance: Although, parasitic leiomyoma is an infrequent subtype of uterine leiomyoma, we report a challenging case of parasitic leiomyoma with all its particularities.


PDF Share
  1. Giuliani E, As-Sanie S, Marsh EE. Epidemiology and management of uterine fibroids. Int J Gynaecol Obstet 2020;149(1):3–9. DOI: 10.1002/ijgo.13102.
  2. Lete I, Gonzle J, Ugarte L, et al. Parasitic leiomyomas: A systemic review. Eur J Obstet Gynecol Reprod Biol 2016;203:250–259. DOI: 10.1016/j.ejogrb.2016.05.025.
  3. Malcolm G. Munro, Hilary OD, et al. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet 2018;143(3):393–408. DOI: 10.1002/ijgo.12666.
  4. Khan A, Shawl A, Leung PS. Parasitic leiomyoma of the greater omentum presenting as small bowel obstruction. J Surg Case Rep 2018;(7):164. DOI: 10.1093/jscr/rjy164.
  5. Karan Sampat D, Javid I, Alleemudder. Fibroids in pregnancy: Management and outcomes. Obstet Gynecol 2018;20:187–195. DOI: 10.1111/tog.12491.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.