Iatrogenic
parasitic leiomyoma and leiomyomatosis peritonealis disseminata following uterine morcellation.
FDG PET-CT was performed postoperatively and revealed a faint FDG uptake within the 2 previously identified pulmonary nodules (SUV 1.4) and the soft tissue nodule on the left aspect of the vaginal cuff, later identified as parasitic leiomyoma by transvaginal ultrasound (US) and not the left ovary as initially thought.
Different types of extrauterine growth of benign uterine leiomyomas are described as follows: disseminated peritoneal leiomyomatosis (DPLM), retroperitoneal leiomyomatosis (RPLM), parasitic leiomyoma, BML, and intravenous leiomyomatosis (IVL) [11].
Zaitoon, "Retroperitoneal
parasitic leiomyoma causing unilateral ureteral obstruction," The Journal of Urology, vol.
A rare case of primary
parasitic leiomyoma. Int J Reprod Contracept Obstet Gynecol.
Other variants in growth patterns can be diffuse peritoneal leiomyomatosis, intravenous leiomyomatosis,
parasitic leiomyoma or benign metastasising leiomyomatosis, where they can be found even in lung due to haematogenous dissemination and retroperitoneal leiomyomas.
But on the other hand patient had the symptoms of torsion; probably these symptoms could be due to the
parasitic leiomyoma as well.
Pseudo-Meig's syndrome:
parasitic leiomyoma with ascites in a 52-year old lady.
They are then called as
parasitic leiomyoma. (1) On histological evaluation, they exhibit features similar to those of their uterine counterparts.
Unusual extrauterine fibroid growth patterns described in the literature to date include peritoneal leiomyomatosis, intravenous leiomyomas, benign metastasizing leiomyomas, retroperitoneal leiomyomas, and
parasitic leiomyomas. Although various theories and hypothesis exist regarding the mechanism behind these manifestations, no established conclusive pathophysiology has been made.
Parasitic leiomyomas after laparoscopic surgery with morcellation.