Open AccessLeiomyomatosis peritonealis disseminata of unusual course with malignant transformation: case report
Author(s) -
Żyła Monika M.,
Dzieniecka Monika,
Kostrzewa Marta,
Stetkiewicz Tomasz,
Wilamowska Agnieszka,
KsiężakowskaŁakoma Kinga,
Wilczyński Jacek R.
Publication year - 2015
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12549
Subject(s) - medicine , laparotomy , leiomyomatosis , asymptomatic , laparoscopy , abdominal pain , radiology , leiomyoma , surgery
Leiomyomatosis peritonealis disseminata is a very rare, benign entity of unknown pathogenesis, characterized by the presence of multiple subperitoneal or peritoneal smooth muscle nodules throughout the peritoneal surface. Mostly the course is asymptomatic and it is found incidentally during laparotomy, laparoscopy or cesarean section. Non‐specific symptoms such as abdominal pain, vaginal bleeding, abdominal mass or gastrointestinal signs are described. Rare cases of malignant transformation have been reported. We present a case of disseminated peritoneal leiomyomatosis with an unusual course and transformation to endometrial sarcoma in a 26‐year‐old previously healthy woman, where the appearance of peritoneal nodules was preceded by multiple incidents of fast fibroid growth and delivery of myomatous growth into the cervical canal.