LEIOMYOMATOSIS PERITONEALIS DISSEMINATA: A CASE REPORT

Louise Lee MAppSc(MU) BAppSc(MRT) AMS, Sonographer, Medical Imaging Department, Gold Coast Hospital, Southport, Queensland

Leiomyomatosis peritonealis disseminata (LPD) is a rare disorder characterized by multiple subperitoneal smooth muscle nodules1,2. It is most commonly seen in women of reproductive age2-4 and is frequently associated with pregnancy or oral contraceptive use2,4-6. Less frequent associations have been reported with the use of tamoxifen4,7, oestrogen producing ovarian tumors4,5,7,8 and endometriosis2,8. The following report describes a case of LPD in a woman who, while still of reproductive age, had no other associated risk factors.

Case History
A 40 year old female presented with increasing lower abdominal fullness and cramping relieved by menstruating. She was gravida 2 para 2, with her 2 children being 15 and 12 years of age. She had no history of weight loss or decrease in appetite. She was not on the oral contraceptive pill and used no regular medication. Her previous surgical history included a hysteroscopic fibroid polypectomy 5 years ago, followed by a left breast lumpectomy 6 months later. Pathology demonstrated a leiomyoma and a fibroadenoma respectively.

Citation
Lee L. Leiomyomatosis peritonealis disseminata: A case report. ASUM Bulletin 2002.3:15-17.