Disseminated peritoneal leiomyoma: a diagnostic dilemma
Swati Trivedi1, Meenakshi Gothwal2, Sureka Binit3
1Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India krishnaagnihotri.kgmc@gmail.com.
BMJ Case Reports
|June 11, 2024
Summary
Disseminated peritoneal leiomyomatosis (DPL) is a rare benign condition. This case report details a successful surgical management of DPL in a woman presenting with gynecological symptoms.
Area of Science:
- Gynecology
- Surgical Oncology
Background:
- Disseminated peritoneal leiomyomatosis (DPL), also known as leiomyomatosis peritonealis disseminata (LPD), is a rare benign condition.
- It is characterized by the presence of multiple leiomyomas throughout the peritoneal cavity.
Observation:
- A primiparous woman in her early 40s presented with heavy, prolonged, painful menses and lower abdominal heaviness.
- She had a history of laparoscopic myomectomy for a fibroid uterus 12 months prior.
- Workup confirmed a diagnosis of DPL.
Findings:
- The patient underwent a total abdominal hysterectomy with bilateral salpingectomy, low anterior resection with stapled colorectal anastomosis, and excision of peritoneal tumor deposits.
- Surgical intervention was performed in collaboration with the gastrosurgery team.
- The patient's postoperative period was uneventful, with discharge on postoperative day 6.
Implications:
- Histopathology confirmed leiomyoma, and the patient experienced an uneventful follow-up.
- This case highlights the successful surgical management of a rare benign condition.
- Multidisciplinary surgical approaches may be necessary for comprehensive treatment of DPL.
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