{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:34:29Z","timestamp":1777415669547,"version":"3.51.4"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>We present the case of a 39-year-old Chinese woman who presented with a palpable mass in her abdominal wall and pelvic cavity 9\u202fyears after undergoing laparoscopic myomectomy. Six abdominal wall fibroids, 18 intramural fibroids, 1 posterior adenomyoma, and 6 uterine rectal fibroids were excised. Abdominal wall fibroids were located near the right trocar site of the previous laparoscopic myomectomy, with a total diameter of 15\u202fcm. Histopathologic examination confirmed leiomyoma. Port-site PL is a rare complication caused by power morcellation following laparoscopic surgery. Even rarer are cases involving both the abdominal wall and the pelvic cavity. To reduce the occurrence of port-site PL, it is crucial to prevent tissue dissemination via excessive fragmentation. In addition to exploring and irrigating pelvic and abdominal cavities, diligent efforts should be made to irrigate the trocar-site abdominal wall to prevent tissue implantation. It is recommended that morcellation be performed, whenever feasible, within a containment bag or by conducting intracapsular myomectomy.<\/jats:p>","DOI":"10.3389\/fmed.2025.1563914","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T05:24:42Z","timestamp":1760419482000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Removal of port-site and pelvic parasitic fibroids after laparoscopic myomectomy with morcellation: a case report and literature review"],"prefix":"10.3389","volume":"12","author":[{"given":"Yushi","family":"Wu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Dai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinghua","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiyue","family":"Gu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenyu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailan","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinhua","family":"Leng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1016\/j.ejogrb.2016.05.025","article-title":"Parasitic leiomyomas: a systematic review","volume":"203","author":"Lete","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1016\/j.jmig.2010.04.004","article-title":"Iatrogenic myomas: new class of myomas?","volume":"17","author":"Nezhat","year":"2010","journal-title":"J Minim Invasive Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.maturitas.2016.11.007","article-title":"Long-term sequelae of unconfined morcellation during laparoscopic gynecological surgery","volume":"97","author":"Cohen","year":"2017","journal-title":"Maturitas"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ijgo.2010.11.011","article-title":"FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age","volume":"113","author":"Munro","year":"2011","journal-title":"Int J Gynaecol Obstet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1111\/jog.13011","article-title":"Iatrogenic parasitic leiomyoma and leiomyomatosis peritonealis disseminata following uterine morcellation","volume":"42","author":"Lu","year":"2016","journal-title":"J Obstet Gynaecol Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1111\/j.1600-0412.2012.01453.x","article-title":"Parasitic leiomyomas after laparoscopic surgery with morcellation","volume":"91","author":"Leren","year":"2012","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1111\/1471-0528.13541","article-title":"Parasitic myoma after laparoscopic morcellation: a systematic review of the literature","volume":"123","author":"Van der Meulen","year":"2016","journal-title":"BJOG"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.bpobgyn.2017.09.012","article-title":"Laparoscopic myomectomy and morcellation: a review of techniques, outcomes, and practice guidelines","volume":"46","author":"Glaser","year":"2018","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"ref9","first-page":"17","volume-title":"Quantitative assessment of the prevalence of unsuspected uterine sarcoma in women undergoing treatment of uterine fibroids","year":"2014"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.ejogrb.2023.06.016","article-title":"Uterine sarcomas: a critical review of the literature","volume":"287","author":"Giannini","year":"2023","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.jmig.2014.11.010","article-title":"Open power morcellation versus contained power morcellation within an insufflated isolation bag: comparison of perioperative outcomes","volume":"22","author":"Vargas","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"129","DOI":"10.2174\/1389203717666160322150338","article-title":"Angiogenesis and vascularization of uterine leiomyoma: clinical value of Pseudocapsule containing peptides and neurotransmitters","volume":"18","author":"Tinelli","year":"2017","journal-title":"Curr Protein Pept Sci"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.ejogrb.2024.03.045","article-title":"The great debate: surgical outcomes of laparoscopic versus laparotomic myomectomy. A meta-analysis to critically evaluate current evidence and look over the horizon","volume":"297","author":"Giannini","year":"2024","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.fertnstert.2005.10.017","article-title":"Multiple peritoneal parasitic myomas after laparoscopic myomectomy and morcellation","volume":"85","author":"Paul","year":"2006","journal-title":"Fertil Steril"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.jmig.2023.03.006","article-title":"Laparoscopic Management of Disseminated Peritoneal Leiomyomatosis","volume":"30","author":"Kriplani","year":"2023","journal-title":"J Minim Invasive Gynecol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"2050313X20959223","DOI":"10.1177\/2050313X20959223","article-title":"Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology","volume":"8","author":"Kai","year":"2020","journal-title":"SAGE Open Med Case Rep"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1563914\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T05:24:44Z","timestamp":1760419484000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1563914\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,14]]},"references-count":16,"alternative-id":["10.3389\/fmed.2025.1563914"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1563914","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,14]]},"article-number":"1563914"}}