Objective: To report a case of aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy.
Design: Case report.
Setting: University hospital.
Patient(s): One 27-year-old woman with a newly developed solid mass in the abdominal wall near the minilaparotomic site of a previous laparoscopically assisted myomectomy.
Intervention(s): Surgical removal of the mass.
Main outcome measure(s): Histologic examination of the mass.
Result(s): A newly developed mass measuring approximately 9 cm was surgically removed. The mass was located in the fascial area of abdomen close to the incision site of a previous laparoscopically assisted myomectomy. Histologic diagnosis including Hematoxylin-Eosin staining and immunohistochemistry confirmed that the lesion was compatible with uterine leiomyoma.
Conclusion(s): Implantation and growth of uterine leiomyoma fragments after myomectomy is a rare event. However, this complication should be considered as a differential diagnosis when a progressively growing mass is observed at the incision site.