Disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy.

Park, Shin Young; Choi, Jong Yoon; Baek, Mi Suk; Koh, Suk Bong; Lee, Tae Sung; Choi, Youn Seok

doi:2010.53.6.546

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(6):546-550.
DOI: https://doi.org/10.5468/kjog.2010.53.6.546 Published online June 1, 2010.

Disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy.

Shin Young Park, Jong Yoon Choi, Mi Suk Baek, Suk Bong Koh, Tae Sung Lee, Youn Seok Choi

Department 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.

Key Words: Leiomyomatosis, Myomectomy