Disseminated peritoneal leiomyomatosis as an incidental finding: A case report

• Published in: Clinical case reports Vol. 10; no. 3; pp. e05541 - n/a
• Main Authors: Morgan, Emmanuel D, Kahiye, Mohamed, Kule, Isaiah, Yahaya, James J, Othieno, Emmanuel
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.03.2022; John Wiley and Sons Inc; Wiley
• Subjects: Abdomen; Asymptomatic; Birth control; Case Report; Case Reports; Cesarean section; Conflicts of interest; Consent; disseminated peritoneal leiomyomatosis; Estrogens; Fibroids; Hormone replacement therapy; Hospitals; incidental finding; Laparoscopy; Patients; Pregnancy; Smooth muscle; Surgery; Tumors; Uterus; Womens health; incidental finding; disseminated peritoneal leiomyomatosis; uterus
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.5541

We present the case of a 23‐year‐old female with multiple diffuse and nodular masses of different sizes involving predominantly the posterior wall of the uterus, omentum, and peritoneum which were histopathologically confirmed to be disseminated peritoneal leiomyomatosis. Meticulous investigation and accurate diagnosis are of utmost importance for the establishment of the correct diagnosis. Additionally, proper management of the patient while considering choice of the patients including close follow‐up of the patients is mandatory for the reason of ensuring early detection of recurrence. Disseminated leiomyomatosis is a rare benign condition involving smooth muscle cells. The condition may commonly be seen in younger premenopausal women. The risk of malignant transformation is 2%–5%. The condition is treated surgically and medically by using GnRH analogs, aromatase inhibitors, and chemotherapy.