Leiomyomatosis peritonealis disseminata with omental involvement: a case report

Uterine leiomyoma is a benign tumor of the uterus, and laparoscopic myomectomy is a common procedure for young women. We conducted a retrospective analysis of one patient admitted to our hospital. After undergoing two laparoscopic myomectomies at other hospital, surgical records from the referring hospital indicated that a containment bag was used. However, a pelvic mass reappeared, which was confirmed during surgery to be leiomyomatosis peritonealis disseminata with omental involvement. This indicated that even with a containment bag, dissemination still occurred. We also reviewed relevant literature to better understand the risks associated with laparoscopic myomectomy. The exact mechanism of dissemination cannot be definitively determined from this single case alone. Additionally, close follow-up after surgery is essential to prevent recurrence and malignant transformation.