• J. Obstet. Gynaecol. Res. · Feb 2019

    Case Reports

    A case of uterine lymphangioleiomyomatosis in a young woman that was identified via peritonitis.

    • Hikari Yoshizawa, Satoshi Kawai, Yutaka Hirota, Takahiro Ueda, Makoto Kuroda, and Takuma Fujii.
    • Department of Obstetrics and Gynecology, Fujita Health University School of Medicine, Toyoake, Japan.
    • J. Obstet. Gynaecol. Res. 2019 Feb 1; 45 (2): 482-486.

    AbstractAlthough lymphangioleiomyomatosis is often observed with tuberous sclerosis, uterine lymphangioleiomyomatosis is rare. Our patient was 36 years old (gravida 0, para 0). She had a history of tuberous sclerosis, and many myometrial cystic lesions were identified during assisted reproductive therapy. Although we administered a gonadotropin-releasing hormone analog, myometrial cystic lesions increased in size. Therefore, simple hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node biopsy were performed. Postoperative histology showed lymphangioleiomyomatosis and myometrial abscess. For uterine lesions in young women with tuberous sclerosis, the possibility of uterine lymphangioleiomyomatosis should also be considered.© 2018 Japan Society of Obstetrics and Gynecology.

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