Cargando…

Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report

Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellati...

Descripción completa

Detalles Bibliográficos
Autores principales: Hsieh, Yun-Chiao, Kuo, Po-Yen, Chiang, Ying-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633832/
https://www.ncbi.nlm.nih.gov/pubmed/34876953
http://dx.doi.org/10.1016/j.radcr.2021.10.045
_version_ 1784608008049786880
author Hsieh, Yun-Chiao
Kuo, Po-Yen
Chiang, Ying-Cheng
author_facet Hsieh, Yun-Chiao
Kuo, Po-Yen
Chiang, Ying-Cheng
author_sort Hsieh, Yun-Chiao
collection PubMed
description Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases.
format Online
Article
Text
id pubmed-8633832
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-86338322021-12-06 Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report Hsieh, Yun-Chiao Kuo, Po-Yen Chiang, Ying-Cheng Radiol Case Rep Case Report Leiomyomatosis peritonealis disseminata (LPD) is a rare clinical condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal or abdominal cavity. Here, we report a case of a patient who was diagnosed with LPD after laparoscopic myomectomy with power morcellation. Growing evidence has shown that LPD might develop after using power morcellation for hysterectomy or myomectomy, and this can worsen the prognosis if the spreading tissue contains malignancies, such as leiomyosarcoma. Thus, it is crucial to use laparoscopic morcellation for gynecologic procedures cautiously, and the use of a containment system is even better. If LPD develops without evidence of malignancy, the primary treatment is surgical intervention, and gonadotropin-releasing hormone agonists, aromatase inhibitors, and selective progesterone receptor modulators can be prescribed as adjuvant therapies for recurrent or refractory cases. Elsevier 2021-11-25 /pmc/articles/PMC8633832/ /pubmed/34876953 http://dx.doi.org/10.1016/j.radcr.2021.10.045 Text en © 2021 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hsieh, Yun-Chiao
Kuo, Po-Yen
Chiang, Ying-Cheng
Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_full Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_fullStr Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_full_unstemmed Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_short Leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: A case report
title_sort leiomyomatosis peritonealis disseminata in laparoscopic port site and abdomino-pelvic cavity: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633832/
https://www.ncbi.nlm.nih.gov/pubmed/34876953
http://dx.doi.org/10.1016/j.radcr.2021.10.045
work_keys_str_mv AT hsiehyunchiao leiomyomatosisperitonealisdisseminatainlaparoscopicportsiteandabdominopelviccavityacasereport
AT kuopoyen leiomyomatosisperitonealisdisseminatainlaparoscopicportsiteandabdominopelviccavityacasereport
AT chiangyingcheng leiomyomatosisperitonealisdisseminatainlaparoscopicportsiteandabdominopelviccavityacasereport