4.4 Article

Disseminated peritoneal leiomyomatosis: an unusual complication of laparoscopic myomectomy

Journal

ARCHIVES OF GYNECOLOGY AND OBSTETRICS
Volume 278, Issue 1, Pages 93-95

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00404-007-0536-9

Keywords

disseminated peritoneal leiomyomatosis; laparoscopic myomectomy; leiomyomas

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Introduction We report a case of disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy. Case report The patient presented with a large abdominopelvic mass 9 months post laparoscopic myomectomy. Clinical examination and imaging revealed a mass lying separately from the uterus and the ovaries. The large myoma and several small peritoneal myomas were removed by a laparotomy. Conclusion Disseminated leiomyomas have rarely been reported after laparoscopic myomectomy and hysterectomy. They could be bits left after morcellation or could be parasitic myomas. Hence, this rare condition must be kept in mind whenever a patient presents with abdominal masses following myomectomy or hysterectomy.

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