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Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses
Disseminated peritoneal leiomyomatosis (DPL) is an unusual extrauterine form of leiomyoma that has been found to coexist with its intrauterine counterpart in individuals who have previously undergone laparoscopic myomectomy. The presence of extrauterine masses with the density of smooth muscle on CT...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Institute of Radiology
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243359/ https://www.ncbi.nlm.nih.gov/pubmed/30459968 http://dx.doi.org/10.1259/bjrcr.20150252 |
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author | Hiremath, Shivaprakash Basavanthaiah Benjamin, Geena Gautam, Amol Anantrao Panicker, Sathibhai Rajan, Aji |
author_facet | Hiremath, Shivaprakash Basavanthaiah Benjamin, Geena Gautam, Amol Anantrao Panicker, Sathibhai Rajan, Aji |
author_sort | Hiremath, Shivaprakash Basavanthaiah |
collection | PubMed |
description | Disseminated peritoneal leiomyomatosis (DPL) is an unusual extrauterine form of leiomyoma that has been found to coexist with its intrauterine counterpart in individuals who have previously undergone laparoscopic myomectomy. The presence of extrauterine masses with the density of smooth muscle on CT imaging and/or with a low signal intensity similar to that of smooth muscle on T(2) weighted MRI in a patient presenting with associated intrauterine leiomyoma and/or a history of previous laparoscopic myomectomy suggests the possibility of DPL. Imaging studies help in diagnosing and delineating the location and extent of the lesion and also follow-up the masses to look for sarcomatous transformation. Here we report the case of a 43-year-old female who presented initially with right lower quadrant pain. Her CT scan and MRI demonstrated a fundal fibroid with multiple intraperitoneal soft tissue masses of similar appearance and contrast enhancement in the sigmoid mesocolon, the left paracolic gutter and adjacent to the ascending colon. The suspected diagnosis of DPL was confirmed during abdominal hysterectomy, bilateral salphingo-oophorectomy and excision of peritoneal masses. |
format | Online Article Text |
id | pubmed-6243359 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The British Institute of Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-62433592018-11-20 Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses Hiremath, Shivaprakash Basavanthaiah Benjamin, Geena Gautam, Amol Anantrao Panicker, Sathibhai Rajan, Aji BJR Case Rep Case Report Disseminated peritoneal leiomyomatosis (DPL) is an unusual extrauterine form of leiomyoma that has been found to coexist with its intrauterine counterpart in individuals who have previously undergone laparoscopic myomectomy. The presence of extrauterine masses with the density of smooth muscle on CT imaging and/or with a low signal intensity similar to that of smooth muscle on T(2) weighted MRI in a patient presenting with associated intrauterine leiomyoma and/or a history of previous laparoscopic myomectomy suggests the possibility of DPL. Imaging studies help in diagnosing and delineating the location and extent of the lesion and also follow-up the masses to look for sarcomatous transformation. Here we report the case of a 43-year-old female who presented initially with right lower quadrant pain. Her CT scan and MRI demonstrated a fundal fibroid with multiple intraperitoneal soft tissue masses of similar appearance and contrast enhancement in the sigmoid mesocolon, the left paracolic gutter and adjacent to the ascending colon. The suspected diagnosis of DPL was confirmed during abdominal hysterectomy, bilateral salphingo-oophorectomy and excision of peritoneal masses. The British Institute of Radiology 2016-07-28 /pmc/articles/PMC6243359/ /pubmed/30459968 http://dx.doi.org/10.1259/bjrcr.20150252 Text en © 2016 The Authors. Published by the British Institute of Radiology http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Hiremath, Shivaprakash Basavanthaiah Benjamin, Geena Gautam, Amol Anantrao Panicker, Sathibhai Rajan, Aji Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title | Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title_full | Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title_fullStr | Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title_full_unstemmed | Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title_short | Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
title_sort | disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243359/ https://www.ncbi.nlm.nih.gov/pubmed/30459968 http://dx.doi.org/10.1259/bjrcr.20150252 |
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