[Leiomyomatosis peritonealis disseminate. Laparoscopic management]

Area of Science:

• Gynecology
• Surgical Pathology

Background:

• Leiomyomatosis peritonealis disseminata (LPD) is a rare condition characterized by smooth muscle nodules in the abdomen and pelvis.
• The etiology of LPD remains unknown, with approximately 100 cases documented in medical literature since its initial description.

Observation:

• The case involved a patient with extensive pelvic and abdominal nodules consistent with LPD.
• The nodules were primarily composed of smooth muscle tissue.

Findings:

• This report details the first known case of LPD managed using a laparoscopic surgical technique.
• The laparoscopic approach was combined with gonadotropin-releasing hormone agonist therapy.

Implications:

• This minimally invasive laparoscopic approach, coupled with hormonal therapy, represents a novel treatment strategy for LPD.
• Further research may explore the efficacy and long-term outcomes of this combined therapeutic modality in managing LPD.