{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T18:06:48Z","timestamp":1767204408938,"version":"build-2238731810"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>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\u202fmonths and 4\u202fyears 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1579105","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T01:22:23Z","timestamp":1750382543000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A utero-pelvic fistula and pelvic-parasitic myoma by hysteroscopic resection of a recurrent submucosal myoma: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"YuXi","family":"Yan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"XiaoRong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.ejogrb.2014.05.029","article-title":"Long-term risk of fibroid recurrence after laparoscopic myomectomy","volume":"180","author":"Radosa","year":"2014","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1016\/j.jmig.2011.09.005","article-title":"The members of the AAGL Guideline Development Committee for the Management of Submucous Leiomyomas. Aagl practice report: practice guidelines for the diagnosis and management of submucous leiomyomas","volume":"19","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"ref3","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 Int J Obstet Gynaecol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"88","DOI":"10.5603\/GP.a2021.0204","article-title":"Parasitic fibroid of greater omentum in 31-years old woman","volume":"93","author":"Smyka","year":"2022","journal-title":"Ginekol Pol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1186\/s12884-024-06446-7","article-title":"Evaluation of incision healing status after transverse uterine fundal incision for cesarean delivery and postoperative pregnancy: a ten-year single-center retrospective study","volume":"24","author":"Kotsuji","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"719","DOI":"10.2147\/IMCRJ.S425424","article-title":"Uterocolon fistula formation in 50 year old patient with history of 16 years intrauterine device use: a case report","volume":"16","author":"Gurnita","year":"2023","journal-title":"Int Med Case Rep J"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1016\/S0015-0282(00)01788-X","article-title":"Uterine fistula induced by hysteroscopic resection of an embolized migrated fibroid: a rare complication after embolization of uterine fibroids","volume":"75","author":"De Iaco","year":"2001","journal-title":"Fertil Steril"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s00404-006-0306-0","article-title":"Diagnosis of uteroperitoneal fistula through color doppler hysterosonography","volume":"276","author":"Guimar\u00e3es Filho","year":"2007","journal-title":"Arch Gynecol Obstet"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1007\/s00404-022-06707-w","article-title":"Cyclic hematuria after cesarean section: MRI image indicates vesico-uterine fistula","volume":"306","author":"Gu","year":"2022","journal-title":"Arch Gynecol Obstet"}],"updated-by":[{"DOI":"10.3389\/fmed.2025.1688770","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000}}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1579105\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T16:41:36Z","timestamp":1756744896000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1579105\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,20]]},"references-count":9,"alternative-id":["10.3389\/fmed.2025.1579105"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1579105","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,20]]},"article-number":"1579105"}}