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Laparoscopy

Rare Complications of Laparoscopic Myomectomy Highlighted in Case Report

Strategic Insights

— 1 min read

A 39-year-old Chinese woman presented with a palpable mass in her abdominal wall and pelvic cavity nine years after undergoing laparoscopic myomectomy. The mass was found to be caused by the implantation of leiomyoma cells, a rare complication known as port-site pelvic (PL) leiomyomatosis. This case report highlights the importance of preventing tissue dissemination via excessive fragmentation during morcellation and the need for diligent irrigation of the trocar-site abdominal wall to prevent implantation.

Key Takeaways:

  • A case of port-site pelvic (PL) leiomyomatosis was reported in a 39-year-old Chinese woman, nine years after undergoing laparoscopic myomectomy.
  • The complications arose from the implantation of leiomyoma cells, which were identified through histopathologic examination.
  • The researchers emphasized the importance of preventing tissue dissemination via excessive fragmentation during morcellation.
  • Diligent irrigation of the trocar-site abdominal wall was recommended to prevent implantation of leiomyoma cells.
  • Intracapsular myomectomy or morcellation within a containment bag is preferred to reduce the occurrence of PL leiomyomatosis.
  • This case report highlights the unique location and rarity of PL leiomyomatosis, which affects both the abdominal wall and pelvic cavity.

Statistics:

  • 6 abdominal wall fibroids, 18 intramural fibroids, 1 posterior adenomyoma, and 6 uterine rectal fibroids were excised from the patient.
  • The total diameter of the abdominal wall fibroids was 15 cm.
  • The study concluded that diligent irrigation of the trocar-site abdominal wall can prevent implantation of leiomyoma cells.
  • The researchers recommended intracapsular myomectomy or morcellation within a containment bag to reduce the occurrence of PL leiomyomatosis.

Sources:

  • Wu, Y. et al. Removal of port-site and pelvic parasitic fibroids after laparoscopic myomectomy with morcellation: a case report and literature review. Frontiers in Medicine, 2025,12.
  • doi-org.sdpl.idm.oclc.org/10.3389/fmed.2025.1563914.

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