Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 17, Number 3, March 2026, pages 96-100

An Unexpected Intraoperative Discovery: A Parasitic Leiomyoma in a Perimenopausal Patient With Complex Abnormal Uterine Bleeding

Figures

Figure 1.
Figure 1. Intraoperative image of the markedly enlarged myomatous uterus prior to hysterectomy, demonstrating global fibroid involvement and distortion of pelvic anatomy.
Figure 2.
Figure 2. Intraoperative images demonstrating the parasitic leiomyoma (a–d). Panels show the mass adherent to the large intestine, its mesenteric vascular supply, and sequential adhesiolysis performed to safely mobilize the lesion during robotic-assisted hysterectomy.