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Case Reports
. 2022 Mar 6;10(3):e05541.
doi: 10.1002/ccr3.5541. eCollection 2022 Mar.

Disseminated peritoneal leiomyomatosis as an incidental finding: A case report

Emmanuel D Morgan  1 , Mohamed Kahiye  2 , Isaiah Kule  3 , James J Yahaya  4 , Emmanuel Othieno  1
Affiliations
Case Reports

Disseminated peritoneal leiomyomatosis as an incidental finding: A case report

Emmanuel D Morgan et al. Clin Case Rep. .

Abstract

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.

Keywords: disseminated peritoneal leiomyomatosis; incidental finding; uterus.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

FIGURE 1
FIGURE 1
(A) Anterior wall of the uterus showing multiple nodular gray‐white and rubbery masses of different sizes (yellow arrow). (B) Posterior wall of the uterus showing multiple nodular gray‐white and rubbery masses of different sizes and the right fallopian tube (red arrow)
FIGURE 2
FIGURE 2
(A) Photomicrograph showing DPL composed of multiple nodules of smooth muscle cells (yellow arrow), stromal cells resembling decidua, and multiple congested blood vessels (red arrow; hematoxylin and eosin stain, ×100). (B) Photomicrograph showing higher magnification of DPL composed of proliferation fascicles of bland spindle‐shaped cells with no atypia or mitosis (yellow arrow) and stromal cells with decidua‐like change (red arrow; hematoxylin and eosin stain, ×100)
See this image and copyright information in PMC

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