A Rare Presentation of Cervical Lipoleiomyoma with Hematometra

Ravikanth R, Reddy Ravikanth, Kamalasekar K, Kanagasabai Kamalasekar
Gynecology and Minimally Invasive Therapy · 2020 · vol. 9(1) , pp. 49–50 · doi:10.4103/gmit.gmit_108_18 · PMID:32090017 · PMC7008652
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A case report describes early postoperative intestinal obstruction caused by a retained myoma fragment buried in the mesentery following laparoscopic myomectomy, resolved by surgical removal.

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This case report describes a rare complication following laparoscopic myomectomy, where a retained fibroid fragment became embedded in the mesentery and caused early postoperative intestinal obstruction. The patient underwent multiple fibroid extractions that were electrosurgically fragmented, leading to the accidental burial of a residual piece within the abdominal cavity. Diagnosis was confirmed through follow-up laparoscopy, and complete recovery was achieved after surgical removal of the offending tissue. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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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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License: CC-BY-NC-SA-4.0