Bowel resection for iatrogenic parasitic fibroids with preoperative investigations suggestive of malignancy.

Objective: To describe a case in which a midline laparotomy for two presumed malignant masses instead revealed parasitic fibroids.
Design: Case report.
Setting: Tertiary-level private hospital.
Patient(s): Woman with 7- and 13-cm abdominopelvic masses 3 years after a total laparoscopic hysterectomy for fibroids.
Intervention(s): Midline laparotomy, bilateral salpingooophorectomy, infracolic omentectomy, appendicectomy, para-aortic lymph node dissection, and high rectosigmoid resection with primary anastomosis.
Main Outcome Measure(s): Histology of masses showed adenomyoma.
Result(s): There was no evidence of malignancy.
Conclusion(s): Morcellation of the fibroids during a total laparoscopic hysterectomy likely left fragments that formed iatrogenic parasitic fibroids, which led to the subsequent laparotomy and bowel resection for potential malignancy.
(Crown Copyright © 2011. Published by Elsevier Inc. All rights reserved.)