• Ginekol Pol · Jan 2013

    Case Reports

    Leiomyomatosis peritonealis disseminata with formation of endometrial cysts within tumors arising after supracervical laparoscopic hysterectomy.

    • Michał Bogusiewicz, Katarzyna Rosińska-Bogusiewicz, Beata Walczyna, Andrzej Drop, and Tomasz Rechberger.
    • 2nd Department of Gynaecology, Medica University of Lublin, Lublin, Poland. mbogusiewicz@yahoo.com
    • Ginekol Pol. 2013 Jan 1; 84 (1): 68-71.

    BackgroundUse of morcellation during laparoscopic hysterectomy may result in seeding of uterine tissue throughout the abdominal cavity and development of 'iatrogenic' leiomyomatosis peritonealis disseminata.CaseTwo years after a supracervical laparoscopic hysterectomy a 42-year-old parous women presented with abdominal pain and bloating. CT scans and subsequent surgical exploration reveled multiple solid tumors containing cysts filled with altered blood. Histologically the tumors had characteristic features of a benign leiomyoma with smooth muscle cells infiltrated by endometrial glands.ConclusionPieces of smooth muscle cell and endometrial uterine tissue lost in the abdominal cavity during morcellation may progress to leiomyomatosis peritonealis disseminata with unusual appearance.

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