Leiomyomatosis Peritonealis Disseminate Following Laparoscopic Myomectomy with Power Morcellation
Received Date: Dec 02, 2017 / Accepted Date: Dec 07, 2017 / Published Date: Dec 11, 2017
Background: Leiomyomatosis peritonealis disseminate (LPD) is a rare benign entity, but its histological origin remains unclear.
Cases: An unusual DPL case which was diagnosed at 4 years after her initial laparoscopic uterine myomectomy with power morcellation, and recurred 4 years later. The findings during the exploratory laparotomy mimicked peritoneal carcinomatosis, which was characteristic of innumerous nodules throughout the peritoneal surface ranging from several millimeters to cenitimeters in diameters. She was treated with omentectomy and debulking of numerous large tumors. Gonadotropin releasing hormone analogue was given for 6 months after her initial laparotomy. Histopathological examination confirmed a consistent morphology of cellular leiomyoma in the uterine and LPD tumors.
Conclusion: Our case suggested an emerging origin of LPD, iatrogenic implantation following laparoscopic procedures with power morcellation.
Teaching points: LPD following laparoscopic myomectomy with power morcellation can mimic carcinomatosis clinically. Particular caution should be exerted on power morcellation when the leiomyoma had an unusual appearance.
Keywords: Myomectomy; Morcellation; Omentectomy; Debulking
Citation: Sun Y, Lan X, Shi H, Wu X, Lu B (2017) Leiomyomatosis Peritonealis Disseminate Following Laparoscopic Myomectomy with Power Morcellation. J Clin Exp Pathol 7: 329. Doi: 10.4172/2161-0681.1000329
Copyright: ©2017 Sun Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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