Whalen Christopher, Murphy Moira, Timmins Patrick
School of Medicine, Touro College of Osteopathic Medicine, Middletown, USA.
Obstetrics and Gynecology, Vassar Brothers Medical Center, Poughkeepsie, USA.
Cureus. 2024 Dec 18;16(12):e75971. doi: 10.7759/cureus.75971. eCollection 2024 Dec.
This case reports a 44-year-old female who presented to the gynecologic oncology clinic status post robotic-assisted laparoscopic myomectomy with intraperitoneal unprotected power morcellation in 2012, with an incidental finding of three conglomerate solid masses in the abdomen above the uterus, with each mass measuring approximately 15.5 cm. The patient underwent an exploratory laparotomy where multiple masses greater than 10 cm were found scattered throughout the abdominal cavity. The masses were resected, and the patient underwent an appendectomy, bilateral salpingectomy, as well as a total abdominal hysterectomy and small bowel resection. Pathology reports revealed benign leiomyomas. The patient's presentation was consistent with disseminated peritoneal leiomyomatosis in the setting of previous myomectomy with the use of power morcellation. Disseminated peritoneal leiomyomatosis is exceedingly rare, and upon encountering this case, further research was conducted to explore the complications associated with the use of power morcellators in gynecological procedures.
本病例报告了一名44岁女性，她于2012年在接受机器人辅助腹腔镜子宫肌瘤切除术中进行了腹腔内无保护动力粉碎术，术后前往妇科肿瘤门诊就诊，偶然发现子宫上方腹部有三个融合性实性肿块，每个肿块大小约为15.5厘米。患者接受了剖腹探查术，术中发现多个大于10厘米的肿块散在分布于整个腹腔。这些肿块被切除，患者还接受了阑尾切除术、双侧输卵管切除术、全腹子宫切除术和小肠切除术。病理报告显示为良性平滑肌瘤。该患者的表现符合在先前子宫肌瘤切除术并使用动力粉碎器的情况下发生的播散性腹膜平滑肌瘤病。播散性腹膜平滑肌瘤病极为罕见，遇到此病例后，进行了进一步研究以探讨在妇科手术中使用动力粉碎器相关的并发症。
