CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1579105
A utero-pelvic fistula and pelvic-parasitic myoma by hysteroscopic resection of a recurrent submucosal myoma: a case report
Provisionally accepted
- Jinhua Central Hospital, Jinhua, China
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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 six months four 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. Then, due to abnormal uterine bleeding (AUB), the patient returned for the third time. 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 assist clinicians to choose appropriate surgical methods, thereby avoiding the risk of misdiagnosis and missed diagnosis.
Keywords: fibroid uterus1, female2, hysteroscopic3, treatment4, Myomectomy5
Received: 18 Feb 2025; Accepted: 06 Jun 2025.
Copyright: © 2025 Yan and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xiaorong Chen, Jinhua Central Hospital, Jinhua, China
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