Leiomyomatosis Peritonealis Disseminata (LPD) ten years after laparoscopic myomectomy associated with ascites and lymph nodes enlargement: a case report
| Autor: | Alessandro Pontis, Pantaleo Greco, Stefano Angioni, Felice Sorrentino, Luigi Nappi, Ida Barone |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine business.industry Ascites Electrical morcellation Leiomyomatosis peritonealis disseminata Myomectomy Surgery fungi Socio-culturale food and beverages Laparoscopic myomectomy Case Report Lymph nodes enlargement 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis hemic and lymphatic diseases Medicine medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Leiomyomatosis peritonealis disseminata (LPD) is a rare pathology of unkown etiology. • The relationship of LPD with myoma morcellation remains unclear. • Ascites with lymph node enlargement can be present in LPD. • Time of clinical presentation of LPD can be very long after laparoscopic myomectomy. Introduction We report a case of leiomyomatosis peritonealis disseminata (LPD) arising 10 years after a laparoscopic myomectomy that was associated with ascites and lymph nodes enlargement. Presentation of case The patient presented with small uterine fibroids with a dominant posterior intramural fibroid measuring 9 cm in diameter and normal Doppler. Laparotomy revealed a uterus enlarged with fibroids, which was densely adhering to the urinary bladder, greater omentum, and sigmoid colon. Multiple tumors of different size were found attached to the peritoneum, omentum and bowel. The histopathologic examination was consistent with leiomyomatosis peritonealis disseminata. Discussion Pieces of smooth muscle cell lost in the abdominal cavity during electrical morcellation after laparoscopic myomectomy may progress to leiomyomatosis peritonealis disseminata even after many years (ten in our case) and it can be associated with ascites and lymph nodes enlargement. Conclusion This is the first case reported in literature of leiomyomatosis peritonealis disseminata with these particular features (time of clinical presentation, ascites, lymph nodes enlargement). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|