Uterine leiomyoma particle growing in an abdominal-wall incision after laparoscopic retrieval.

BACKGROUND: As laparoscopic myomectomy gains acceptance among patients and pelvic surgeons, new laparoscopic techniques create a risk for complications that were not encountered in classic laparotomy myomectomy. Report of such complications will allow surgeons to undertake appropriate steps to prevent them. CASE: Fragments of uterine leiomyomas unintentionally implanted and growing in abdominal-wall incisions after laparoscopic myomectomy presented clinically with incisional pain and an abdominal-wall mass of increasing size. Diagnosis was confirmed by the histology, and treatment was achieved by excision.
CONCLUSION: In the differential diagnosis of a progressively increasing incisional mass and pain after laparoscopic myomectomy, inadvertent implantation and growing particles of uterine leiomyomas should be considered when fragmented tumors are removed through a trocar sleeve.