ArticleFrontiers in medicine2025
A utero-pelvic fistula and pelvic-parasitic myoma by hysteroscopic resection of a recurrent submucosal myoma: a case report.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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- Erratum issued
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Abstract
Background: The occurrence of a uterine fistula combined with parasitic myoma formation is rare. We report a case involving a utero-pelvic fistula and a pelvic-parasitic myoma following hysteroscopic resection of a recurrent submucosal myoma. Case presentation: A 37-year-old woman who had undergone surgery for laparoscopic myomectomy of large uterine fibroids presented with abnormal uterine bleeding (AUB) for over 6 months and 4 years ago. One year ago, the patient returned to the hospital due to abnormal uterine bleeding (AUB); both transabdominal sonography (TS) and dynamic pelvic magnetic resonance imaging (MRI) revealed submucosal myomas that were subsequently removed hysteroscopically. On a subsequent visit, the patient returned for the third time due to recurrent AUB. She eventually underwent a laparoscopic myomectomy of uterine fibroids after transabdominal sonography (TS) detected a uterine myoma, and dynamic pelvic MRI revealed a uterine myoma at the base of the uterus that locally penetrated the uterine serosal surface, as well as a small leiomyoma in the left utero-rectal fossa. Conclusion: In rare cases, recurring submucosal myoma after hysteroscopic surgery can breach the surface of the uterine serosa, leading to utero-pelvic fistula and pelvic-parasitic myoma. Preoperative enhanced MRI examinations can aid clinicians in choosing appropriate surgical methods, thereby avoiding the risk of misdiagnosis and missed diagnosis.
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