Figure 1: (a) During the initial laparoscopic subtotal hysterectomy, an enlarged uterine (U) with two globular and protruding myomas (M1, M2) were found at the anterior and posterior walls. (b) Computed tomography shows multiple heterogeneous enhanced solid tumors in the pelvic abdomen, with size ranging from 2.5 to 10 cm, located near the right side of the bladder (parasitic myoma 1), on the sigmoid colon (parasitic myoma 2), and the right common iliac artery (parasitic myomas 3) (yellow arrows). (c) Repeat laparoscopic surgery revealed parasitic myoma. The 5.0 cm × 4.5 cm mass (parasitic myoma 1) arises from the right bladder just adjacent to the right ureter and the 10.0 cm × 9.5 cm (parasitic myoma 2) mass arises from the pelvis and is densely adhered to the sigmoid colon. (d) Another 5.0 × 4.0 cm mass (parasitic myoma 3) is present on the peritoneum at the right common iliac artery