U cơ trơn lan tỏa trong phúc mạc: Nhân một trường hợp và hồi cứu y văn

Abstract

Leiomyomatosis Peritonealis Disseminata (LPD) is a rare benign condition that can be easily misdiagnosed as peritoneal metastatic malignancy. We report a case of a patient with a history of laparoscopic myomectomy with power morcellation and subtotal hysterectomy with bilateral ovarian preservation, who was found to have multiple pelvic masses during routine follow-up. Initial differential diagnoses included peritoneal carcinoma, gastrointestinal stromal tumor, and mesenchymal tumor. The patient subsequently underwent exploratory surgery, and histopathological as well as immunohistochemical analyses confirmed benign smooth muscle tumors. Therefore, regular follow-up every 6 months was recommended for this case. Clinicians should consider LPD when encountering multiple solid pelvic masses in women of reproductive age with a history of laparoscopic myomectomy involving power morcellation, in order to avoid misdiagnosis as malignant peritoneal disease and to establish an appropriate management strategy.