Leiomyomatosis peritonealis disseminata and subcutaneous myoma--a rare complication of laparoscopic myomectomy.
We present a case of leiomyomatosis peritonealis disseminata (LPD) after laparoscopic myomectomy with imaging features corroborating laparoscopic tract dissemination of the tumor. This would suggest a subset cases of LPD may be secondary to transcoelomic dissemination of a primary uterine leiomyoma rather than de novo peritoneal metaplasia. To our knowledge, this is the first case report of LPD and subcutaneous leiomyoma complicating laparoscopic surgery. The imaging features of LPD are reviewed. Radiologists as well as clinicians should consider LPD as a potential complication of laparoscopic myomectomy.
Thian
Yee Liang
YL
Department of Diagnostic Radiology, KK Women's and Children Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore. ylthian@gmail.com
Tan
Kok Hian
KH
Kwek
Jin Wei
JW
Wang
Junjie
J
Chern
Bernard
B
Yam
Kwai Lam
KL
D000328:Adult; D004312:Douglas' Pouch / Q000473:pathology; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000209:etiology*; D009366:Neoplasm Seeding; D010532:Peritoneal Diseases / Q000209:etiology / Q000473:pathology; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*