Parasitic myomas after laparoscopic myomectomy: case report

Objective: To report a case of a woman who presented with parasitic myomas 27 months after laparoscopic myomectomy. Design: Case report. Setting: University medical center. Patient(s): A 31-year-old G0 woman who had a previous history significant for laparoscopic myomectomy with morcellation 27 months before. Intervention(s): Repeat laparoscopic myomectomy and review of video footage from previous myomectomy. Main Outcome Measure(s): Pathology report. Result(s): Repeat laparoscopic examination revealed two pedunculated and two parasitic myomas. Review of video footage from initial surgery revealed pieces of myoma dispersed within pelvis during morcellation. Conclusion(s): Pieces of initial myoma dispersed within the pelvis during morcellation may have developed into parasitic myomas. (Fertil Steril (R) 2009;91:932.e13-e14. (C) 2009 by American Society for Reproductive Medicine.)