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Indian Journal of Obstetrics and Gynecology Research


Parasitic fibroid during Pregnancy: A Diagnostic Dilemma (Rare Case Report)


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Author Details: Neha Varun, Arifa A. Elahi, Aruna Nigam, Nidhi Gupta

Volume : 4

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 458

Article End Page : 459


Abstract

Leiomyomas are the most common benign tumors of the uterus, but parasitic fibroid is a rare entity. A parasitic leiomyoma is a type of extra-uterine leiomyoma and presents as pelvic benign smooth-muscle masses separate from the uterus. It originates from pedunculated subserosal leiomyoma that twists and torses from its uterine pedicle and thus the contact between the mass and the uterus is lost. A case of parasitic leiomyoma presenting as an adnexal mass in pregnant female causing obstructed labour is reported. 25 year old primigravida with term pregnancy had an emergency lower segment caesarean section (LSCS) in view of arrest of descent of head (mechanical obstruction). Emergency LSCS revealed B/L hard adnexal masses attached to the ovary. Both the masses were removed and histopathological findings were suggestive of leiomyoma. Parasitic leiomyoma presenting an adnexal mass in pregnant female causing obstructed labour is a rare case presentation with no prior history of any Laparoscopic morcellation procedures or myomectomy.

Keywords:
Leiomyoma, Parasitic, Adnexal mass, Pregnancy