Parasitic leiomyoma: A rare case report with imaging, surgical and histopathological correlation

Parasitic leiomyomas are rare benign smooth muscle tumors that can implant and grow autonomously in the abdominal cavity, often following gynaecological surgeries involving power morcellation. We report a case of a 32-year-old female with a history of laparoscopic myomectomy who presented with recurrent pelvic pain and heaviness. MRI revealed multiple enhancing soft-tissue masses in the peritoneal cavity and anterior abdominal wall, mimicking malignant peritoneal deposits. Surgical excision and histopathological analysis confirmed parasitic leiomyomas. This case highlights the key imaging features, particularly MRI, suggesting parasitic leiomyomas from peritoneal malignancy, thereby guiding appropriate clinical management and avoiding unnecessary interventions.