open access

Vol 84, No 1 (2013)
ARTICLES
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Leiomyomatosis peritonealis disseminate with formation of endometrial cysts within tumors arising after supracervical laparoscopic hysterectomy

Michał Bogusiewicz, Tomasz Rechberger, Katarzyna Rosińska-Bogusiewicz, Andrzej Drop, Beata Walczyna
DOI: 10.17772/gp/1544
·
Ginekol Pol 2013;84(1).

open access

Vol 84, No 1 (2013)
ARTICLES

Abstract

Background: Use of morcellation during laparoscopic hysterectomy may result in seeding of uterine tissue throughout the abdominal cavity and development of ‘iatrogenic’ leiomyomatosis peritonealis disseminata. Case: Two years after a supracervical laparoscopic hysterectomy a 42-year-old parous women presented with abdominal pain and bloating. CT scans and subsequent surgical exploration reveled multiple solid tumors containing cysts filled with altered blood. Histologically, the tumors had characteristic features of a benign leiomyoma with smooth muscle cells infiltrated by endometrial glands. Conclusion: Pieces of smooth muscle cell and endometrial uterine tissue lost in the abdominal cavity during morcellation may progress to leiomyomatosis peritonealis disseminata with unusual appearance.

Abstract

Background: Use of morcellation during laparoscopic hysterectomy may result in seeding of uterine tissue throughout the abdominal cavity and development of ‘iatrogenic’ leiomyomatosis peritonealis disseminata. Case: Two years after a supracervical laparoscopic hysterectomy a 42-year-old parous women presented with abdominal pain and bloating. CT scans and subsequent surgical exploration reveled multiple solid tumors containing cysts filled with altered blood. Histologically, the tumors had characteristic features of a benign leiomyoma with smooth muscle cells infiltrated by endometrial glands. Conclusion: Pieces of smooth muscle cell and endometrial uterine tissue lost in the abdominal cavity during morcellation may progress to leiomyomatosis peritonealis disseminata with unusual appearance.
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Keywords

leiomyomatosis peritonealis disseminata, laparoscopic hysterectomy

About this article
Title

Leiomyomatosis peritonealis disseminate with formation of endometrial cysts within tumors arising after supracervical laparoscopic hysterectomy

Journal

Ginekologia Polska

Issue

Vol 84, No 1 (2013)

DOI

10.17772/gp/1544

Bibliographic record

Ginekol Pol 2013;84(1).

Keywords

leiomyomatosis peritonealis disseminata
laparoscopic hysterectomy

Authors

Michał Bogusiewicz
Tomasz Rechberger
Katarzyna Rosińska-Bogusiewicz
Andrzej Drop
Beata Walczyna

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