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A CLINICAL CASE OF ABDOMINAL MORCELLOMAS

https://doi.org/10.38181/2223-2427-2022-3-56-61

Abstract

Aim of the study is to present a clinical case of abdominal morcellomas.

Methods: The technique of morcellation involves not only incisions, but also a significant crushing of tumor cells, which can eventually lead to the spread of the disease. Fibroids left in the abdominal cavity during morcellation continue their development and can reach tumors of considerable size. An observation of the detected parasitic uterine fibroids several years after laparoscopic myomectomy is presented.

Result: Histological examination of the removed preparation shows a microscopic picture of the uterine leiomyoma node of a typical structure in a thin fibrous capsule. It was received a normal postoperative course and a patient was discharged from hospital on the 4th day.

Conclusion: Abdominal morcellomas after laparoscopic interventions on the uterus is a rare complication associated with the parasitic persistence of myomatous tissue on the abdominal organs. The risks of such complications of endosurgery indicate the need for strict compliance with all technical aspects of using a devices for the evacuation of removed tissues, careful intraoperative monitoring and sanitation of the abdominal cavity.

About the Authors

O. V. Galimov
Bashkir state medical university. Department of surgical diseases and new technologies with course of Institute of Additional Postgraduate Education
Russian Federation

Oleg V. Galimov – Dr. Sc., Professor, Head of the Department

Lenina str., 3, 450008, Ufa



V. O. Khanov
Bashkir state medical university. Department of surgical diseases and new technologies with course of Institute of Additional Postgraduate Education
Russian Federation

Vladislav O. Khanov – Dr. Sc., Professor

Lenina str., 3, 450008, Ufa

Phone: +7 (917) 755 62 82



D. M. Minigalin
Bashkir state medical university. Department of surgical diseases and new technologies with course of Institute of Additional Postgraduate Education
Russian Federation

Daniil M. Minigalin – PhD, Assistent

Lenina str., 3, 450008, Ufa



D. O. Galimov
Bashkir state medical university. Department of surgical diseases and new technologies with course of Institute of Additional Postgraduate Education
Russian Federation

Dmitrii O. Galimov – student

Lenina str., 3, 450008, Ufa



References

1. Tugushev MT, Klimanov AYu, Ignatyev AV. Morcellomas of the abdominal cavity: A clinical case. Russian Bulletin of Obstetrician-Gynecologist. 2017;17(2):55 58. (In Russ.). https://doi.org/10.17116/rosakush201717255-58

2. Khashukoeva A.Z., Dobrokhotova Yu.E., Khlynova S.A., Markova E.A., Sukhova T.N., Myasoutova A.I. Parasitic uterine fibroids of retroperitoneal localization. Akusherstvo i ginekologiya. 2020; 7: 170-174 (In Russ.). https://dx.doi.org/10.18565/aig.2020.7.170-174

3. Donnez O, Jadoul P, Squifflet J, Donnez J. Iatrogenic peritoneal adenomyoma after laparoscopic subtotal hysterectomy and uterine morcellation. Fertil Steril. 2006;86:1511-1512. https://doi.org/10.1016/j.fertnstert.2006.06.009

4. Moon HS, Koo JS, Park SH, Park GS, Choi JG, Kim SG. Parasitic leiomyoma in the abdominal wall after laparoscopic myomectomy. Fertil Steril. 2008;90:1-2. https://doi.org/10.1016/j.fertnstert.2007.08.068

5. McCarthy M. New England Journal of Medicine essay on morcellation prompts a call for retraction. BMJ. 2016;352:i1752. https://doi.org/10.1136/bmj.i1752

6. Rosenbaum L. N-of-1 policymaking: tragedy, trade-offs, and the demise of morcellation. N Engl J Med 2016; 374: 986-90. https://doi.org/10.1056/NEJMms1516161

7. Roh CK, Kwon HJ, Jung MJ. Parasitic leiomyoma in the trocar site after laparoscopic myomectomy: A case report. World J Clin Cases. 2022; 10(9): 2895-2900. https://doi.org/10.12998/wjcc.v10.i9.2895

8. Tulandi T, Leung A, Jan N. Nonmalignant Sequelae of Unconfined Morcellation at Laparoscopic Hysterectomy or Myomectomy. J Minim Invasive Gynecol. 2016;23:331-337. https://doi.org/10.1016/j.jmig.2016.01.017

9. Parker W. Parasitic myomas may be more common than we think. BJOG. 2016;123:76. https://doi.org/10.1111/1471-0528.13541


Review

For citations:


Galimov O.V., Khanov V.O., Minigalin D.M., Galimov D.O. A CLINICAL CASE OF ABDOMINAL MORCELLOMAS. Surgical practice (Russia). 2022;(3):56-61. (In Russ.) https://doi.org/10.38181/2223-2427-2022-3-56-61

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ISSN 2223-2427 (Print)