An unusual presentation of a severely calcified parasitic leiomyoma in a postmenopausal woman

Abstract

We report the case of a calcified parasitic leiomyoma in a 51-year-old postmenopausal woman with lower abdomi- nal discomfort. She had no history of surgery. Workup confirmed a calcified leiomyoma. On laparoscopy, the mass was separate from the uterus and adhered to the bowel and bladder. Histopathological examination con- firmed a calcified leiomyoma. A calcified parasitic leiomy- oma in a postmenopausal woman is rare. Most prior cases were in persons with a history of a laparoscopic myomec- tomy. The diagnosis can be made by radiological findings. Laparoscopic excision is the treatment of choice in such cases. © 2010 by JSLS.