Disseminated peritoneal leiomyomatosis

15th September 2015

Disseminated peritoneal leiomyomatosis (DPL) is a rare, mostly benign clinical condition where multiple smooth-muscle nodules or growths of various sizes of uterine origin implant on the abdominal, pelvic and peritoneal surface. The condition can occur spontaneously, or iatrogenically after surgical seeding. We present the case of a 46-year-old woman who was incidentally diagnosed with DPL during a laparoscopic sling procedure for stress urinary incontinence. This patient had undergone a laparoscopic supracervical hysterectomy 9 years earlier for menorrhagia and uterine fibroids. During this procedure the uterine specimen had been removed with a laparoscopic morcellator. With the increase in laparoscopic hysterectomies and myomectomies, this case highlights the need for surgical diligence in removal of all morcellated fragments of the specimen. The patient should be made aware of the potential risks of this technique of tissue extraction.