Abstract
We present a case of leiomyomatosis peritonealis disseminata (LPD) after laparoscopic myomectomy with imaging features corroborating laparoscopic tract dissemination of the tumor. This would suggest a subset cases of LPD may be secondary to transcoelomic dissemination of a primary uterine leiomyoma rather than de novo peritoneal metaplasia. To our knowledge, this is the first case report of LPD and subcutaneous leiomyoma complicating laparoscopic surgery. The imaging features of LPD are reviewed. Radiologists as well as clinicians should consider LPD as a potential complication of laparoscopic myomectomy.
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References
Prashant S, Chaturvedi KU et al. (2004) Leiomyomatosis peritonealis disseminata with malignant change in a post-menopausal woman. Gynaecol Oncol 95:742–745
Wilson JR, Peale AR (1952) Multiple peritoneal leiomyomas associated with a granulosa cell tumor of the ovary. Am J Obset Gynecol 64:204–208
Bekkers RLM, Willemsem WNP et al. (1999) Leiomyomatosis peritonealis disseminata: does malignant transformation occur? A literature review. Gynecol Oncol 75:158–163
Altinok G, Usubutun A, Kucukali T et al. (2000) Disseminated peritoneal leiomyomatosis: a benign entity mimicking carcinomatosis. Arch Gynecol Obstet 264:54–55
Dimitrios Danikas, Goudas Vasilios T et al. (2000) Luteinizing hormone receptor expression in leiomyomatosis peritonealis disseminata. Obstet Gynecol 95(6 Pt2):1009–1011
Roue A, Laboisse C, Winer N et al. (2007) Extra-uterine pelvic leiomyoma: diagnosis and practical management. J Gynecol Obstet Biol Reprod (Paris) 36:403–408
Lam PM, Lo KW, Wong WS et al. (2004) Intravenous leiomyomatosis : two cases with different routes of tumor extension. J Vasc Surg 39:465–469
Sinha R, Sundaram M, Mahajan C (2007) Multiple leiomyomas after laparoscopic hysterectomy : Report of two cases. J Minim Invasive Gynecol 14:123–127
Fulcher AS, Szues RA (1998) Leiomyomatosis peritonealis disseminata complicated by sarcomatous transformation and ovarian torsion : presentation of two cases and review of the literature. Abdom Imaging 23:640–644
Ruscalleda N, Eixarch E et al. (2006) Leiomyomatosis peritonealis disseminata. Eur Radiol 16:2879–2882
Cohen DT, Oliva E, Hahn PF et al. (2007) Uterine smooth muscle tumors with unusual growth patterns : imaging with pathologic correlation. Am J Roentgenol 188:246–255
Sharma P, Chaturvedi KU et al. (2004) Leiomyomatosis peritonealis disseminata with malignant change in a post-menopausal woman. Gynecol Oncol 95:742–745
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Thian, Y.L., Tan, K.H., Kwek, J.W. et al. Leiomyomatosis peritonealis disseminata and subcutaneous myoma—a rare complication of laparoscopic myomectomy. Abdom Imaging 34, 235–238 (2009). https://doi.org/10.1007/s00261-008-9379-5
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DOI: https://doi.org/10.1007/s00261-008-9379-5