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Leiomyomatosis Peritonealis Disseminate Following Laparoscopic Myomectomy with Power Morcellation | OMICS International| Abstract
ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
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  • Case Report   
  • J Clin Exp Pathol 2017, Vol 7(6): 329
  • DOI: 10.4172/2161-0681.1000329

Leiomyomatosis Peritonealis Disseminate Following Laparoscopic Myomectomy with Power Morcellation

Yao Sun1#, Xiaoxiao Lan2#, Haiyan Shi1, Xueqing Wu2*# and Bingjian Lu1*#
1Department of Surgical Pathology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, 310002, PR China
2Department of Gynecology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang Province, 310002, PR China
#Contributed equally to this work
*Corresponding Author (s) : Xueqing Wu, Department of Gynecology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang Province, 310002, PR China
Bingjian Lu M.D, Department of Surgical Pathology, the Affiliated Women’s Hospital, School of Medicine, Zhejiang University, 2 Xueshi Road, Hangzhou, Zhejiang Province, 310002, PR China, Tel: (86)571-89991702, Fax: (86)571-87061878, Email: [email protected]

Received Date: Dec 02, 2017 / Accepted Date: Dec 07, 2017 / Published Date: Dec 11, 2017

Abstract

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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