Thian Yee Liang, Tan Kok Hian, Kwek Jin Wei, Wang Junjie, Chern Bernard, Yam Kwai Lam
Department of Diagnostic Radiology, KK Women's and Children Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.
Abdom Imaging. 2009 Mar-Apr;34(2):235-8. doi: 10.1007/s00261-008-9379-5.
We present a case of leiomyomatosis peritonealis disseminata (LPD) after laparoscopic myomectomy with imaging features corroborating laparoscopic tract dissemination of the tumor. This would suggest a subset cases of LPD may be secondary to transcoelomic dissemination of a primary uterine leiomyoma rather than de novo peritoneal metaplasia. To our knowledge, this is the first case report of LPD and subcutaneous leiomyoma complicating laparoscopic surgery. The imaging features of LPD are reviewed. Radiologists as well as clinicians should consider LPD as a potential complication of laparoscopic myomectomy.
我们报告一例腹腔镜子宫肌瘤切除术后腹膜播散性平滑肌瘤病(LPD),其影像学特征证实肿瘤经腹腔镜手术通道播散。这表明部分LPD病例可能继发于原发性子宫平滑肌瘤的经体腔播散,而非源于腹膜的化生。据我们所知,这是首例关于LPD及皮下平滑肌瘤并发腹腔镜手术的病例报告。本文对LPD的影像学特征进行了综述。放射科医生及临床医生均应将LPD视为腹腔镜子宫肌瘤切除术的潜在并发症。