Related Experiment Video
Updated: May 1, 2026
03:50
Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
Published on: August 18, 2023
3.6K
Disseminated peritoneal leiomyomatosis with chronic constipation: a case report
Savas Bayrak1, Esra Pasaoglu, Ekrem Cakar
1Department of General Surgery, Istanbul Training and Research Hospital, Kasap İlyas Mah, Org, Abdurrahman Nafiz Gürman Cd, PK: 34098,, Istanbul (212) 4596000, Turkey. savasbayrak74@gmail.com.
Journal of Medical Case Reports
|April 9, 2014
Summary
Disseminated peritoneal leiomyomatosis (DPL) is a rare condition. This report details a unique case of DPL presenting solely with chronic constipation, highlighting diagnostic challenges.
Area of Science:
- Gastroenterology
- Gynecologic Oncology
- Pathology
Background:
- Disseminated peritoneal leiomyomatosis (DPL) is a rare condition.
- DPL is typically associated with gynecological disorders or abdominal masses.
- No prior English literature reports DPL presenting solely with chronic constipation.
Purpose of the Study:
- To report a rare case of disseminated peritoneal leiomyomatosis (DPL).
- To highlight DPL presenting exclusively with chronic constipation.
- To discuss the diagnostic challenges of DPL.
Main Methods:
- A 49-year-old premenopausal woman presented with abdominal distention and chronic constipation.
- Surgical intervention involved open subtotal colectomy with ileorectal anastomosis.
- Diagnosis was confirmed via morphological and pathological evaluation of resection specimens, revealing diffuse nodular and polypoid tumor formations in the colonic mesoderm.
Main Results:
- The patient was diagnosed with disseminated peritoneal leiomyomatosis (DPL).
- The case presented uniquely with chronic constipation as the sole manifestation.
- Diffuse nodular and polypoid tumor formations were identified in the colonic mesoderm.
Conclusions:
- Disseminated peritoneal leiomyomatosis (DPL) typically affects women of childbearing age with estrogen hypersecretion.
- Preoperative diagnosis of DPL is challenging and can be mistaken for intra-abdominal malignancies.
- Currently, no specific preoperative diagnostic methods exist for DPL.
Related Concept Videos
01:27Diverticular Disease of the Colon
44
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
44
01:25Assessment of the Rectum and Anus
2.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
2.1K
01:17Chronic Bowel Disorders: Introduction
900
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
900
01:07Intestinal Obstruction II: Pathophysiology
47
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
47
01:19Appendicitis
29
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29
01:21Drugs for Treatment of Constipation-Predominant IBS
1.4K
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
1.4K