Unusual appearing leiomyoma at laparoscopic myomectomy.

摘要

On visualization the known fundal myoma had an un-usual diffuse papillary appearance (Figure 1). Despite prominent vessels at the base, myomectomy was easily performed with minimal blood loss, and the small subsero-sal myomas were also removed. At completion of the procedure, the uterine contour was restored to normal (Fig. 2). Pathologic study confirmed a 260-g leiomyoma. Her recovery was uncomplicated, and hemoglobin was 11.9 g/dL at discharge.The feasibility and benefits of laparoscopic myomectomy are well documented. This is an example of a grossly unusual myoma, managed quickly and effectively laparo-scopically with excellent clinical results in a patient with decreased mobility.