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.