Disseminated peritoneal leiomyomatosis in a horse

A 6-year-old female Quarter Horse became inappetent, lost weight, was febrile, and had abdominal enlargement and infrequent bouts of mild colic. Palpation per rectum detected a prominent, smooth-walled mass adjacent to the pelvic flexure of the colon. Analyses revealed the peritoneal fluid was apparently normal except for a high protein concentration. By the use of ultrasonography, the mass was observed adjacent to the body wall in many locations throughout the abdomen, appearing as an irregular, multiloculated structure composed of innumerable cysts of various sizes with interspersed, circular hyperechoic nodules. A celiotomy was performed, and the 34-kg mass was removed. On the basis of histologic examination, a diagnosis of disseminated peritoneal leiomyomatosis was made. The horse had an uncomplicated recovery and gained weight. Further problems have not been reported and the horse subsequently gave birth to a healthy foal. A complete examination of the horse 22 months after surgery did not reveal signs of redevelopment of the condition.