Omental Feeder Vessel in a Large Cornual Subserosal Myoma

A 38-year-old woman who had had pelvic heaviness for 1 month was admitted for laparoscopic myomectomy. She had 2 children, both delivered by cesarean section. Clinical examination revealed a pelvic mass measuring up to 24 weeks in size. Ultrasonography revealed a bulky uterus with a posterior wall myoma measuring 15!7 cm. Laparoscopy revealed a 15-cm left cornual pedunculated myoma that was vascular and had large feeder vessels arising from the omentum. The myoma occupied the entire pouch of Douglas. Another 2-cm posterior wall intramural myoma was also observed.