Laparoscopic Identification of Double Ureter Variant in Severe Endometriosis

Case report OA: gold CC0 ⤵ 2 in-corpus citations
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A case report describes early postoperative intestinal obstruction caused by a retained myoma fragment buried in the mesentery after laparoscopic myomectomy, highlighting the need for careful removal of all fragments.

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This case report describes a patient who developed early postoperative intestinal obstruction due to a retained myoma fragment buried in the mesentery following laparoscopic myomectomy for multiple uterine fibroids. The diagnosis was confirmed through follow-up laparoscopy, and the condition resolved after surgical removal of the residual tissue. The authors emphasize the critical importance of meticulously removing all fibroid fragments during enucleation to prevent such rare but serious complications. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Early Postoperative Intestinal Obstruction from Retained Myoma Fragment After Laparoscopic Myomectomy- A Case Report Laparoscopic myomectomy is increasingly used for uterine fibroid excision in women needing fertility preservation. However, as complex laparoscopic procedures become common and widespread, new and novel complications are being reported. Retained fibroid pieces are an uncommon but possibly dangerous consequence. We describe a case of laparoscopic myomectomy involving multiple fibroids of varying sizes which were enucleated and electrosurgically cut into smaller pieces. This case is unique because a residual fibroid fragment got buried in the mesentery causing early postoperative intestinal obstruction. The diagnosis was confirmed by a follow-up laparoscopy, and full healing resulted from surgically removing that fibroid segment. In order to prevent such difficulties, this article highlights how crucial it is to carefully remove all myoma fragments during laparoscopy.

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Condition tags

endometriosis

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Cited by (2)

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europepmc
last seen: 2026-10-24T06:12:55.650802+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:22:59.998548+00:00
License: CC0 · commercial use OK