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 UNUSUAL CASE
Year : 2011  |  Volume : 7  |  Issue : 2  |  Page : 151-153

Leiomyoma mimicking an incarcerated inguinal hernia: A rare complication of laparoscopic hysterectomy


1 Department of Abdominal and Transplantation Surgery, University Hospitals Saint-Luc, Université Catholique de Louvain - UCL, 1200 Brussels, Belgium
2 Department of Pathology, University Hospitals Saint-Luc, Université Catholique de Louvain - UCL, 1200 Brussels, Belgium

Correspondence Address:
Jan Lerut
Cliniques Universitaires Saint-Luc, 10 Avenue Hippocrate, 1200, Brussels
Belgium
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.78351

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A 52-year-old, obese, female patient was referred for a right inguinal mass, which appeared seven months after a laparoscopic hysterectomy, which was performed because of myomatosis. Despite several examinations, including ultrasound, computed tomography (CT)-Scan, positron emission tomography (PET)-CT, and ultrasound-guided biopsy, the diagnosis remained unclear until surgical exploration, which disclosed a well-encapsulated solid tumour corresponding to a fibrotic leiomyoma. Spilling of leiomyoma cells is a rare and unusual complication of laparoscopic surgery. Tumour development in the inguinal canal after laparoscopic gynaecological surgery should be kept in mind in the differential diagnosis of inguinal hernia and other uncommon pathologies.






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