Peritoneal leiomyomatosis – A rare case report

Publication date: Available online 6 June 2015 Source:Apollo Medicine Author(s): Rochita Venkataramanan , Pudhiavan Arunachalam , Vinutha Arunachalam , Panneer Venkat Leiomyomas are smooth muscle tumors that are common to the uterus. These lesions include a range of presentations and extensions ranging from within the uterus to anywhere in the body, including parasitic leiomyoma, intravenous leiomyomatosis, disseminated peritoneal leiomyomatosis, and benign metastasizing leiomyoma. However, these atypical locations of these tumors present a diagnostic dilemma regarding their nature and benignity. Leiomyomatosis peritonealis disseminata (LPD) is a rare benign disease of unknown etiology of women in reproductive age group. A few reported cases of association with endometriosis have been described, suggesting a possible origin from submesothelial multipotent cells. Here, we present a case of a reproductive age group woman with history of uterine fibroids, now presenting with vague abdominal symptoms and multiple benign leiomyomas scattered throughout the peritoneal cavity. A diagnostic laparoscopy was done and the lesions sampled, which confirmed the imaging diagnosis of disseminated peritoneal leiomyomatosis. We stress the importance of picking up this rare benign pathology and avoiding labeling them as malignant peritoneal disease.
Source: Apollo Medicine - Category: Journals (General) Source Type: research