Abdominal Parasitic Fibroids after Laparoscopic Surgery Using a Power Morcellation - A Novel Insight from Vietnam - Learning Points and Narrative Review

Sep 28, 2026

Uploaded by hdkawk

Parasitic fibroid is a rare benign condition with uncertain etiology after prior uterine fibroid interventions, typically evaluated through clinical presentation and imaging. A 40-year-old woman developed abdominal pain and increasing abdominal circumference six years after laparoscopic myomectomy using power morcellation without a contained-bag system. Imaging showed multiple hypoechoic disseminated masses, and laparotomy with histopathology confirmed parasitic fibroid. The case emphasizes recognition in post-laparoscopic fibroid patients and suggests careful contained-bag morcellation and gentler specimen handling to minimize tissue dissemination.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages5

Reading Time13 min

AccessFree to download

Abstract

Learning points

Introduction

Incidence and definitions

Proposed mechanisms and differential diagnosis

| Case Report | | --- | | | Abdominal Parasitic Fibroids after Laparoscopic Surgery Using a Power Morcellation: A Novel Insight from Vietnam and a Narrative Review of the Literature Thanh Hai Pham1\#, Van Hung Nguyen2, Phuc Nhon Nguyen3*\# 1Tu Du Clinical Research Unit (TD-CRU), Tu Du Hospital, Ho Chi Minh City, Vietnam, 2Department of Gynecology, Tu Du Hospital, Ho Chi Minh City, Vietnam, 3Department of High-Risk Pregnancy, Tu Du Hospital, Ho Chi Minh City, Vietnam \#Both authors contributed equally to this work. Abstract Parasitic fibroid is a rare benign pathology that can be negotiated because of its rarity. The etiology remains unknown following prior intervention related to uterine fibroids. The assessment of this rare disease is usually based on clinical features and imaging modalities. In addition, appropriate management should be individualized where appropriate. Herein, we report an uncommon case at our center and raise proper recognition for all gynecologists. Particularly, in low‑and middle‑income countries such as Vietnam, where the health‑care system is insufficient to follow‑up the long‑term postoperation. A 40‑year‑old woman (gravida 3, para 2) presented to the gynecologic examination room due the abdominal pain and increased size of abdominal circumference. The patient had undergone laparoscopy involving the power morcellator without a contained‑bag system for myomectomy at our hospital 6 years prior. The imaging diagnostic tools showed multiple hypoechoic disseminated masses in the abdominal cavity. The laparotomy intervention and histopathological endpoints confirmed completely the diagnosis of parasitic fibroid. Although an extremely rare occurrence, parasitic fibroids should be informed to all patients after laparoscopic intervention for uterine fibroids. In addition, the diagnosis of parasitic fibroid should be warranted among the patients presenting with abdominal pain after a history of fibroid resection. The power morcellation in the contained bag, uterine extraction in hysterectomy, as well as relieving the surgical specimen of uterine fibroids should be gently performed to minimize fibroid tissue disruption. Keywords: Laparoscopy, laparotomy, magnetic resonance imaging, parasitic fibroid, ultrasound Learning points • Despite rarely occurrence, parasitic fibroid should be informed to patients after a laparoscopic myomectomy • The contained‑bag power morcellation as well as extracting the surgical specimen of uterine fibroid and removal of the uterus in hysterectomy should be gently performed to minimize fibroid tissue dissemination • The diagnosis of parasitic fibroid should be warranted among the patients presenting with abdominal pain after a history of fibroid resection • The assessment of this rare pathology should combine the clinical features and imaging modalities • Ultrasound and magnetic resonance imaging could be reliable in detecting parasitic fibroids Received: 21‑03‑2024 Revised: 27‑04‑2024 Accepted: 29‑05‑2024 Available Online: 25‑09‑2024 | Access this article online | | | --- | --- | | Quick Response Code:
| Website:
[https://journals.lww.com/jmut](https://journals.lww.com/jmut) | | | DOI:
10.4103/jmu.jmu_30_24 | • The appropriate management should be individualized when applicable. IntroductIon Uterine fibroid is the common benign tumor of the reproductive system and genital tract in women of reproductive age. However, the parasitic fibroid or disseminated peritoneal leiomyomatosis is rarely heard. The data were reported by case reports. Before 2016, 69 cases were summarized.[1] To date, approximately 78 such cases have been reported worldwide. Address for correspondence: Dr. Phuc Nhon Nguyen, Department of High-Risk Pregnancy, Tu Du Hospital, 284 Cong Quynh, Pham Ngu Lao Ward, District 1, Ho Chi Minh City 71012, Vietnam. E-mail: [docternhon@gmail.com](docternhon@gmail.com) This is an open access article distributed under the ter

FAQs

What is the key clinical and diagnostic approach for parasitic fibroids in this case?

The document highlights evaluation based on clinical features and imaging modalities, followed by definitive confirmation through laparotomy and histopathological endpoints.

What surgical history is associated with the presented parasitic fibroid case?

The patient previously underwent laparoscopic myomectomy using a power morcellator without a contained-bag system for six years prior to presentation.

Why does the paper recommend gentle specimen handling after laparoscopic fibroid surgery?

It argues that minimizing fibroid tissue disruption can reduce dissemination, including using contained-bag power morcellation and careful extraction of uterine fibroid specimens.

Sep 28, 2026

Uploaded by hdkawk