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Arch. Gynecol. Obstet. · Jul 2008
Case ReportsDisseminated peritoneal leiomyomatosis: an unusual complication of laparoscopic myomectomy.
- Sunesh Kumar, J B Sharma, Dipika Verma, P Gupta, K K Roy, and Neena Malhotra.
- Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
- Arch. Gynecol. Obstet. 2008 Jul 1; 278 (1): 93-5.
IntroductionWe report a case of disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy.Case ReportThe patient presented with a large abdominopelvic mass 9 months post laparoscopic myomectomy. Clinical examination and imaging revealed a mass lying separately from the uterus and the ovaries. The large myoma and several small peritoneal myomas were removed by a laparotomy.ConclusionDisseminated leiomyomas have rarely been reported after laparoscopic myomectomy and hysterectomy. They could be bits left after morcellation or could be parasitic myomas. Hence, this rare condition must be kept in mind whenever a patient presents with abdominal masses following myomectomy or hysterectomy.
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