モルセレーションによる腹腔鏡下子宮筋腫核出術後に発生したParasitic peritoneal leiomyomatosisの2例

概要

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We encountered two cases of parasitic peritoneal leiomyomatosis occurring after laparoscopic myomectomy using a morcellation device. Case one is a 42-year-old, gravida 2, para 1 woman who underwent laparoscopic myomectomy (LM). Two years later, she underwent laparotomy, during which five tumors were resected. These tumors were smooth and solid, 3mm to 3cm in diameter, and separate from the uterus. Case two is a 42-year-old, gravida 0 woman who underwent LM. Two years and 11 months later, she underwent LM, during which three tumors, 1-4cm in diameter., were resected from the pelvic peritoneum. In both cases, the histopathological findings were that of a benign leiomyoma, and a diagnosis of parasitic peritoneal leiomyomatosis was made. Recently, reports on parasitic peritoneal leiomyomatosis and disseminated peritoneal leiomyomatosis after laparoscopic morcellation of uterine myoma or the uterus itself have been increasing, therefore prompting us to further examine the prevention and management of these iatrogenic diseases.