Parasitic leiomyoma of the small bowel mesentery mimicking a gastrointestinal stromal tumor: a case report
-
By
-
Shangqin Lin
-
Mingzhe Hu
-
Zhifeng Xu
-
Wei Weng
-
Yaomeng Chen
-
June 2, 2026
-
Clinical Scorecard: A Case Study of Parasitic Leiomyoma in the Small Bowel Mesentery Resembling a Gastrointestinal Stromal Tumor
At a Glance
| Category | Detail |
|---|
| Condition | Parasitic Leiomyoma |
| Key Mechanisms | Iatrogenic origin from laparoscopic myomectomy and power morcellation. |
| Target Population | Women with a history of uterine surgery, particularly laparoscopic myomectomy. |
| Care Setting | Hospital surgical unit. |
Key Highlights
- Parasitic leiomyoma can mimic gastrointestinal tumors, complicating diagnosis.
- Case involved a 38-year-old female with a history of laparoscopic uterine myomectomy.
- Imaging suggested a gastrointestinal stromal tumor (GIST) but was confirmed as a parasitic leiomyoma.
- Histopathological examination revealed low tumor proliferative activity.
- Early recognition can prevent unnecessary extensive bowel resection.
Guideline-Based Recommendations
Diagnosis
- Include parasitic uterine leiomyoma in differential diagnosis for abdominal masses in patients with a history of uterine surgery.
Management
- Surgical resection is indicated for confirmed cases.
Monitoring & Follow-up
- Outpatient follow-up recommended post-surgery.
Risks
- Potential for misdiagnosis as gastrointestinal tumors leading to unnecessary procedures.
Patient & Prescribing Data
Women with previous laparoscopic uterine myomectomy.
Surgical resection is effective for treatment.
Clinical Best Practices
- Utilize imaging and histopathological examination for accurate diagnosis.
- Consider the patient's surgical history when evaluating abdominal masses.
Related Resources & Content
