TITLE:
A Case Report with Literature Review: Parasitic Leiomyoma
AUTHORS:
Salem Al Zoghby, K. Keriakos, Saad El Daou, J. Darido
KEYWORDS:
Parasitic, Leiomyoma, Rare, Tumors, Uterus
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.10 No.1,
January
11,
2019
ABSTRACT: Leiomyoma is a benign tumour composed mainly of smooth muscle cells. It
contains varying amount of fibrous connective tissues.
Parasitic leiomyoma is a rare manifestation of uterine leiomyoma defined as a
pedunculated subserosal fibroid that undergoes torsion and detaches from the uterus.
We are reporting a case of parasitic leiomyoma in a 55 Y/O female patient that
had already given her consent for the case to be published. She presented with
increased abdominal girth since 6 months and body weight and consulting for
possible bariatric surgery 1 month prior to presentation. Ultrasonography
revealed a large heterogeneous mass starting from the pelvic region to the
middle and upper abdomen of more than 37 cm
compatible with an adnexal mass. On abdominopelvic MRI: presence of an enlarged
heterogeneous mass that seems taking its origin from the right ovary, an exploratory
laparotomy was performed. Identification and complete excision of a huge mass
of cystic and solid component adherent to the uterus and the mesentery of the
small bowel. Histopathologically mass was confirmed as a hyelanized leiomyoma with
a focal necrobiosis with no signs of malignity. Parasitic leiomyomas are rare tumors.
Imaging modalities help in diagnosis but not always. The definitive treatment
is surgical excision, presenting this case due to its rarity and diagnostic difficulties
posed.