Externally visible umbilical transabdominal dumbbell parasitic fibroid after laparoscopic myomectomy

Abstract

Parasitic fibroids are rare ectopic implantations of fibroids outside of the uterus. Unintentional seeding of fibroid fragments can occur during laparoscopic myomectomy or hysterectomy. This unique case report depicts an externally visible, transabdominal, dumbbell shaped parasitic fibroid at the umbilical site. A 53-year-old lady was referred to our center for a growing umbilical mass. Her imaging workup revealed the mass likely to be a dumbbell shaped umbilical parasitic fibroid. This was likely due to a remnant growth from her previous laparoscopic myomectomy done years ago. She underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and resection of the rectus sheath fibroid. Histology confirmed the findings of benign fibroids.Most parasitic fibroids over port sites are benign, but they are a long-term complication of laparoscopic gynaecological surgery, with some patients requiring surgical excision for symptomatic relief. To reduce the risk of port site implantation, we should ensure careful contained morcellation, extraction of specimen, inspection, and closure after laparoscopic surgery.