Korean J Obstet Gynecol.  2010 Jun;53(6):546-550. 10.5468/kjog.2010.53.6.546.

Disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy

Affiliations
  • 1Department of Obstetrics and Gynecology, The Catholic University of Daegu School of Medicine, Korea. drcys@cu.ac.kr

Abstract

Disseminated peritoneal leiomyomatosis is rare condition characterized by multiple subperitoneal nodules of benign smooth muscle proliferations. It is associated with high level of estrogen such as pregnancy, oral contraceptives or estrogen producing ovarian tumor, and occasionally associated with operation history of myomectomy or hysterectomy. Clinical course of disseminated peritoneal leiomyomatosis is usually benign, but malignant changes also rarely have been reported. We experienced a case of disseminated peritoneal leiomyomatosis who has history of laparoscopic myomectomy 10 years ago. The patient was a 35-year-old woman, and her chief complaint was palpable masses in lower abdomen. She underwent laparoscopic surgery which revealed numerous solid masses on the surface of peritoneum, descending colon, rectosigmoid colon, uterus, round ligament, and broad ligament. We present it with a brief review of literature.

Keyword

Leiomyomatosis; Myomectomy

MeSH Terms

Abdomen
Adult
Broad Ligament
Colon
Colon, Descending
Contraceptives, Oral
Estrogens
Female
Humans
Hysterectomy
Laparoscopy
Leiomyomatosis
Muscle, Smooth
Peritoneum
Pregnancy
Round Ligament of Uterus
Uterus
Contraceptives, Oral
Estrogens

Figure

  • Figure 1 Operative findings (arrow: myoma, arrow head: sigmoid colon). (A) Multiple myomas of broad and round ligament. (B) Multiple myomas of anterior peritoneal wall. (C) Large two myomas of sigmoid colon. (D) Myomas of sigmoid colon were attached to bowel serosa and mesentery.


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