title: Leiomyomatosis peritonealis disseminata with formation of endometrial cysts within tumors arising after supracervical laparoscopic hysterectomy.
abstract: BACKGROUND
  Use of morcellation during laparoscopic hysterectomy may result in seeding of uterine tissue throughout the abdominal cavity and development of 'iatrogenic' leiomyomatosis peritonealis disseminata.
  
  
  METHODS
  Two 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.
  
  
  CONCLUSIONS
  Pieces of smooth muscle cell and endometrial uterine tissue lost in the abdominal cavity during morcellation may progress to leiomyomatosis peritonealis disseminata with unusual appearance.
authors.affiliation: 2nd Department of Gynaecology, Medica University of Lublin, Lublin, Poland. mbogusiewicz@yahoo.com
authors.forename: Michał
authors.initials: M
authors.lastname: Bogusiewicz
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Rosińska-Bogusiewicz
authors.forename: Beata
authors.initials: B
authors.lastname: Walczyna
authors.forename: Andrzej
authors.initials: A
authors.lastname: Drop
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rechberger
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003560:Cysts / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000009:adverse effects*; D018231:Leiomyomatosis / Q000209:etiology* / Q000473:pathology; D009366:Neoplasm Seeding; D010534:Peritoneal Neoplasms / Q000209:etiology* / Q000473:pathology; D014591:Uterine Diseases / Q000209:etiology* / Q000473:pathology