Extra uterine leiomyoma- a diagnostic challenge & laparoscopic management

Author: 
Dipak Limbachiya and Neha Rani

Extrauterine fibroids often present a diagnostic challenge due to the unusual locations they arise from. We present a series of rare extrauterine fibroids. In recent years, these fibroids have been associated with previous morcellated hysterectomies or myomectomies. Our series of two patients were found to have extrauterine fibroids (confirmed through histology) and underwent laproscopic hysterectomy and myomectomy. Both had undergone previous laparoscopic myomectomies. Postsurgical occurrence may be caused by incomplete removal of morcellated fibroid tissue. Spontaneous occurrence can be associated with congenital Müllerian system defects. Extrapolating from this hypothesis, we recommend physicians to make sure that counselling for extrauterine seeding and dissemination is undertaken in cases of minimally invasive surgeries where morcellation is expected. Long-term tumour surveillance is thus essential in such instances.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.9462.1565
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