Abstract

Background

Disseminated peritoneal leiomyomatosis (DPL) is a rare, generally benign disorder. With the advent of laparoscopic surgery for uterine fibroids, the reported number of cases of DPL has significantly increased since the introduction of unconfined power morcellation. Morcellation and other procedures may be associated with DPL.

Methods

We present the case of a 48-year-old patient with DPL who underwent uterine artery embolization (UAE), laparoscopic myomectomy and high intensity focused ultrasound (HIFU) 11 years, 6 years, and 2 years before the final diagnosis of DPL was made. A subtotal hysterectomy with bilateral salpingo-oopherectomy was performed to remove the uterus, the fallopian tube and the ovaries. We carefully excised as many visible lesions as possible.

Results

After the surgical treatment performed in our center the patient became free of symptoms.

Conclusion

In our case, the occurrence of DPL is most likely associated with laparoscopic myomectomy using power morcellation. In addition, it should be noted whether some other factors played a role in stimulating the growth of the multiple nodules.

中文翻译：

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子宫动脉栓塞，腹腔镜手术，高强度聚焦超声治疗子宫肌瘤后的弥漫性腹膜平滑肌瘤：一例报道。

摘要

背景

弥漫性腹膜平滑肌瘤病（DPL）是一种罕见的，通常为良性的疾病。随着腹腔镜子宫肌瘤手术的问世，自引入无限制功率粉碎以来，DPL的报道病例数已大大增加。抵押和其他程序可能与DPL相关联。

方法

我们介绍了一名48岁的DPL患者，在最终诊断为DPL之前的11年，6年和2年接受了子宫动脉栓塞（UAE），腹腔镜子宫肌瘤切除术和高强度聚焦超声（HIFU）。 。进行了大体子宫切除术和双侧输卵管卵巢切除术，以切除子宫，输卵管和卵巢。我们仔细切除了尽可能多的可见病变。

结果

在我们中心进行外科手术治疗后，患者没有症状。

结论

在我们的案例中，DPL的发生很可能与使用功率粉碎的腹腔镜子宫肌瘤切除术有关。此外，应注意其他一些因素是否在刺激多个结节的生长中起作用。