Disseminated Leiomyomatosis Following a Robotic-Assisted Myomectomy With Power Morcellation: A Case Report

This case reports a 44-year-old female who presented to the gynecologic oncology clinic status post robotic-assisted laparoscopic myomectomy with intraperitoneal unprotected power morcellation in 2012, with an incidental finding of three conglomerate solid masses in the abdomen above the uterus, with each mass measuring approximately 15.5 cm. The patient underwent an exploratory laparotomy where multiple masses greater than 10 cm were found scattered throughout the abdominal cavity. The masses were resected, and the patient underwent an appendectomy, bilateral salpingectomy, as well as a total abdominal hysterectomy and small bowel resection. Pathology reports revealed benign leiomyomas. The patient's presentation was consistent with disseminated peritoneal leiomyomatosis in the setting of previous myomectomy with the use of power morcellation. Disseminated peritoneal leiomyomatosis is exceedingly rare, and upon encountering this case, further research was conducted to explore the complications associated with the use of power morcellators in gynecological procedures.