Department of Obstetrics and Gynecology, Nishtar Medical University, Multan, Pakistan.
Department of General Surgery, Nishtar Medical University, Multan, Pakistan.
J Pak Med Assoc. 2020 Oct;70(10):1851-1853. doi: 10.5455/JPMA.23488.
Leiomyomatosis peritonealis disseminata is a rare clinical disorder characterised by proliferation of smooth muscles spread all over the peritoneal cavity. History and examination do not help in establishing a proper diagnosis, which is possible only by histopathology. Although LPD is a benign disease which regresses spontaneously, it may degenerate to malignancy, so proper follow up is mandatory. A 38-year-old lady presented with lower abdominal pain on 27th day of her menstrual cycle. Due to suspicion of ovarian cyst accident, laparotomy was performed during which innumerable nodules were found scattered all over the peritoneal cavity. Histopathology revealed leiomyomatosis peritonealis disseminata. The patient was followed up for two years without any treatment and she remained asymptomatic.
播散性腹膜平滑肌瘤病是一种罕见的临床疾病,其特征是平滑肌在整个腹膜腔内广泛增殖。病史和检查无助于确立正确的诊断,只有通过组织病理学才能确诊。虽然 LPD 是一种良性疾病,会自发消退,但它可能会恶变为恶性肿瘤,因此必须进行适当的随访。一位 38 岁的女士在月经周期的第 27 天出现下腹痛。由于怀疑卵巢囊肿破裂,进行了剖腹手术,术中发现无数结节散布在整个腹膜腔中。组织病理学显示播散性腹膜平滑肌瘤病。该患者未接受任何治疗,随访两年,无症状。