A Rare Presentation of Disseminated Peritoneal Leiomyomatosis Following Laparoscopic Hysterectomy and Its...

Disseminated peritoneal leiomyomatosis (DPL) is a rare entity. It is a benign disease but can mimic disseminated malignancy with extensive disease at multiple sites within the abdominopelvic cavity. The primary contributing factor is postulated to be peritoneal spillage of benign leiomyoma, especially after laparoscopic intervention, although hormonal influences might also play a role. It primarily affects females of childbearing age. Cross-sectional imaging studies offer guidance regarding the extensive nature of the disease and surgery is the primary treatment modality. Complete resection, personalized according to the extent of the disease, has to be planned through a multidisciplinary approach. The diagnosis can only be confirmed by histopathology. Hormone suppression might have a role in selected cases.