Disseminated Peritoneal Leyomyomatosis After Laparoscopic Morcellation--A Case Report
Gincheva, D.; Nikolova, M.
Akusherstvo i Ginekologiia 55(3): 36-39
2016
ISSN/ISBN: 0324-0959 PMID: 27514144 Document Number: 689114
We presented a case of 41-year-old patient underwent two laparoscopic Myomectomies and current laparotomy regarding suspection of necrotic leiomyoma. Intraoperative finding was suggestive of disseminated malignancy, but gefrir study showed benign smooth muscle tumors. The patient underwent total hysterectomy with right adnesectomy and total omentectomy. After histological and immunohistochemical study of the entire macroscopic material the final diagnosis was disseminated peritoneal leiomyomatosis. This disease is rare, but in recent years, in connection with the widespread introduction of laparoscopic surgery the reports of disseminated peritoneal leiomyomatosis occurring after laparoscopic morcellation, were frequent.