Resection of Diffuse Leiomyomas Related to Morcellation: A Rare Case Report

We report the case of a 42-year-old woman with a history of uterine fibroids treated with robotic myomectomy 12 years prior who presented with extensive uterine fibroids, perihepatic lesions, and an umbilical mass. Preoperative imaging and biopsy of perihepatic lesions confirmed benign leiomyomas with estrogen and progesterone receptor (PR) positivity. Multidisciplinary surgical management included total hysterectomy, partial hepatectomy, and abdominal wall resection with reconstruction. Histopathologic analysis confirmed the presence of uterine fibroids, hepatic benign metastasizing leiomyoma (BML), and abdominal wall endometriosis (AWE). This case highlights the rare phenomenon of concurrent BML and endometriosis and their potential association with prior uterine surgery involving morcellation.