title: Leiomyomatosis peritonealis disseminata associated with ascites and endometriosis: a case report and review of the literature.
abstract: We present a case of leiomyomatosis peritonealis disseminata (LPD) and review the literature. LPD is a rare, benign disorder that is characterized by multiple subperitoneal or peritoneal nodules of varying sizes on the omentum and peritoneal surfaces, grossly resembling disseminated carcinoma. It should be differentiated from other peritoneal tumors. It is mostly asymptomatic and diagnosis is often incidental during surgery. One should be aware of the iatrogenic component of this entity. LPD is being documented with increasing frequency. We report the case of a 39-year-old woman with chronic abdominal pain and heavy dysmenorrhea due to endometriosis associated with LPD. She underwent an abdominal hysterectomy with bilateral salpingo-oophorectomy and omentectomy. LPD and endometriosis is a known association. LPD with ascites and endometriosis however has not yet been reported.
authors.affiliation: Ghent University Hospital, Women's Clinic, Ghent, Belgium. toenga@telenet.be
authors.forename: T
authors.initials: T
authors.lastname: De Vos
authors.forename: S
authors.initials: S
authors.lastname: Weyers
authors.forename: G
authors.initials: G
authors.lastname: Braems
authors.forename: G
authors.initials: G
authors.lastname: Villeirs
authors.forename: K
authors.initials: K
authors.lastname: Lambein
authors.forename: A
authors.initials: A
authors.lastname: Makar
authors.forename: Ph
authors.initials: P
authors.lastname: Tummers
authors.forename: R
authors.initials: R
authors.lastname: Van Den Broecke
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D001201:Ascites / Q000150:complications*; D002471:Cell Transformation, Neoplastic; D002908:Chronic Disease; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications; D018231:Leiomyomatosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000150:complications