Abstract:
Disseminated peritoneal leiomyomatosis (DPL) is a rare and benign clinical entity. It is also known as leiomyomatosis peritonealis disseminata (LPD). Here, we report and discuss a case of a primiparous woman in her early 40s who presented with heavy, prolonged, painful menses and heaviness in her lower abdomen. She underwent a laparoscopic myomectomy for a fibroid uterus, 12 months ago for similar complaints. On workup, she was diagnosed with DPL. We performed a total abdominal hysterectomy with bilateral salpingectomy, low anterior resection with stapled colorectal anastomosis and excision of peritoneal tumour deposits in consortium with the gastrosurgery team. Her postoperative period was uneventful, and the patient was discharged on postop day 6. Her histopathology report was consistent with leiomyoma; the follow-up period was uneventful.
摘要:
播散性腹膜平滑肌瘤病(DPL)是一种罕见且良性的临床实体。它也被称为腹膜平滑肌瘤病(LPD)。这里,我们报告并讨论了一个40岁出头的初产妇的案例,延长,月经疼痛和下腹部沉重。她接受了子宫肌瘤的腹腔镜子宫肌瘤切除术,12个月前的类似投诉。在工作中,她被诊断为DPL.我们进行了全腹全子宫切除术和双侧输卵管切除术,与胃外科团队联合进行低位前切除术,结锁式结直肠吻合术和腹膜肿瘤沉积物切除术。她的术后很顺利,患者在第6天出院。她的组织病理学报告与平滑肌瘤一致;随访期间进展顺利。