{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:54:33Z","timestamp":1778172873060,"version":"3.51.4"},"reference-count":39,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,26]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Disseminated peritoneal leiomyomatosis (DPL) is a rare and benign clinical entity. It is also known as leiomyomatosis peritonealis disseminata (LPD). Here, we report and discuss a case of a primiparous woman in her early 40s who presented with heavy, prolonged, painful menses and heaviness in her lower abdomen. She underwent a laparoscopic myomectomy for a fibroid uterus, 12 months ago for similar complaints. On workup, she was diagnosed with DPL. We performed a total abdominal hysterectomy with bilateral salpingectomy, low anterior resection with stapled colorectal anastomosis and excision of peritoneal tumour deposits in consortium with the gastrosurgery team. Her postoperative period was uneventful, and the patient was discharged on postop day 6. Her histopathology report was consistent with leiomyoma; the follow-up period was uneventful.<\/jats:p>","DOI":"10.1136\/bcr-2023-259093","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T12:22:28Z","timestamp":1718108548000},"page":"e259093","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Disseminated peritoneal leiomyoma: a diagnostic dilemma"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1065-7578","authenticated-orcid":false,"given":"Swati","family":"Trivedi","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meenakshi","family":"Gothwal","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sureka","family":"Binit","sequence":"additional","affiliation":[{"name":"Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences Jodphur, Jodhpur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratibha","family":"Singh","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"2025082804420409000_17.6.e259093.1","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1186\/s13256-018-1873-y","article-title":"Port site parasitic leiomyoma after laparoscopic myomectomy: a case report and review of the literature","volume":"12","author":"Oindi","year":"2018","journal-title":"J Med Case Reports"},{"key":"2025082804420409000_17.6.e259093.2","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/S0002-9378(16)38757-9","article-title":"Multiple peritoneal leiomyomas associated with a granulosa-cell tumor of the ovary","volume":"64","author":"Willson","year":"1952","journal-title":"Am J Obstet Gynecol"},{"key":"2025082804420409000_17.6.e259093.3","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1111\/jog.13011","article-title":"Iatrogenic parasitic leiomyoma and leiomyomatosis peritonealis disseminata following uterine morcellation","volume":"42","author":"Lu","year":"2016","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082804420409000_17.6.e259093.4","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/1471-0528.13541","article-title":"Parasitic myoma after laparoscopic morcellation: a systematic review of the literature","volume":"123","author":"Van der Meulen","year":"2016","journal-title":"BJOG"},{"key":"2025082804420409000_17.6.e259093.5","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2021.788749","article-title":"Leiomyomatosis peritonealis disseminata following laparoscopic surgery with uncontained morcellation: 13 cases from one institution","volume":"8","author":"Chen","year":"2021","journal-title":"Front Surg"},{"key":"2025082804420409000_17.6.e259093.6","doi-asserted-by":"publisher","DOI":"10.1159\/000274487"},{"key":"2025082804420409000_17.6.e259093.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.10.017"},{"key":"2025082804420409000_17.6.e259093.8","first-page":"3684282","article-title":"Leiomyomatosis peritonealis disseminata with sarcomatous transformation: a rare case report and literature review","volume":"2019","author":"Xu","year":"2019","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082804420409000_17.6.e259093.9","doi-asserted-by":"crossref","DOI":"10.3390\/jcm7080207","article-title":"Epithelial-mesenchymal transition with malignant transformation leading multiple metastasis from disseminated peritoneal leiomyomatosis","volume":"7","author":"Chiu","year":"2018","journal-title":"J Clin Med"},{"key":"2025082804420409000_17.6.e259093.10","doi-asserted-by":"crossref","first-page":"426","DOI":"10.12659\/PJR.902242","article-title":"Imaging findings in a rare case of leiomyomatosis peritonealis disseminata with malignant transformation","volume":"82","author":"Syed","year":"2017","journal-title":"Pol J Radiol"},{"key":"2025082804420409000_17.6.e259093.11","unstructured":"Shahin NA , Al-khader A , Ahram M , et al . Malignant leiomyomatosis peritonei display inter-tumor genetic heterogeneity among synchronous and metachronous lesions: molecular evidence from a single case."},{"key":"2025082804420409000_17.6.e259093.12","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12549"},{"key":"2025082804420409000_17.6.e259093.13","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1999.5490"},{"key":"2025082804420409000_17.6.e259093.14","article-title":"Leiomyomatosis peritonealis dissemianata five years after laparoscopic uterine myomectomy: a case report","volume":"66","author":"Thang","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2025082804420409000_17.6.e259093.15","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jmig.2014.11.010","article-title":"Open power morcellation versus contained power morcellation within an insufflated isolation bag: comparison of perioperative outcomes","volume":"22","author":"Vargas","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082804420409000_17.6.e259093.16","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijsu.2018.12.013","article-title":"Feasibility of myomatous tissue extraction in laparoscopic surgery by contained in \u2013 bag morcellation: a retrospective single arm study","volume":"62","author":"Devassy","year":"2019","journal-title":"Int J Surg"},{"key":"2025082804420409000_17.6.e259093.17","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1590\/S0100-39842008000500015","article-title":"Leiomyomatosis peritonealis disseminata: a case report","volume":"41","author":"Gedda","year":"2008","journal-title":"Radiol Bras"},{"key":"2025082804420409000_17.6.e259093.18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2016.05.017","article-title":"Leiomyomatosis Peritonealis Disseminata (LPD) ten years after laparoscopic myomectomy associated with ascites and lymph nodes enlargement: a case report","volume":"25","author":"Nappi","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025082804420409000_17.6.e259093.19","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1080\/00015458.2013.11680945","article-title":"Leiomyomatosis peritonealis disseminata associated with ascites and endometriosis: a case report and review of the literature","volume":"113","author":"De Vos","year":"2013","journal-title":"Acta Chir Belg"},{"key":"2025082804420409000_17.6.e259093.20","doi-asserted-by":"crossref","first-page":"46","DOI":"10.37549\/AR2449","article-title":"Disseminated peritoneal leiomyomatosis","volume":"47","author":"Gottlieb","year":"2018","journal-title":"Appl Radiol"},{"key":"2025082804420409000_17.6.e259093.21","article-title":"Disseminated peritoneal leiomyomatosis: a rare cause of enigmatic peritoneal masses","volume":"2","author":"Hiremath","year":"2016","journal-title":"BJR Case Rep"},{"key":"2025082804420409000_17.6.e259093.22","doi-asserted-by":"crossref","first-page":"4015","DOI":"10.21037\/qims-22-1196","article-title":"Magnetic resonance imaging findings of leiomyomatosis peritonealis disseminata: a case description and literature analysis","volume":"13","author":"Zhang","year":"2023","journal-title":"Quant Imaging Med Surg"},{"key":"2025082804420409000_17.6.e259093.23","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/S1028-4559(10)60047-2","article-title":"Parasitic leiomyosarcoma after myomectomy","volume":"49","author":"Lee","year":"2010","journal-title":"Taiwan J Obstet Gynecol"},{"key":"2025082804420409000_17.6.e259093.24","doi-asserted-by":"crossref","DOI":"10.3390\/cancers14081966","article-title":"Preoperative differentiation of uterine leiomyomas and leiomyosarcomas: current possibilities and future directions","volume":"14","author":"\u017bak","year":"2022","journal-title":"Cancers (Basel)"},{"key":"2025082804420409000_17.6.e259093.25","doi-asserted-by":"crossref","first-page":"030006052110331","DOI":"10.1177\/03000605211033194","article-title":"Disseminated peritoneal leiomyomatosis: a case report and review of the literature","volume":"49","author":"Liu","year":"2021","journal-title":"J Int Med Res"},{"key":"2025082804420409000_17.6.e259093.26","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2023-004409"},{"key":"2025082804420409000_17.6.e259093.27","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.1070"},{"key":"2025082804420409000_17.6.e259093.28","unstructured":"Kl W , Rx G , Zf Y , et al . Clinical analysis of leiomyomatosis peritonealis disseminate after laparoscopic uterine myomectomy in ten cases. Zhonghua Fu Chan Ke Za Zhi 2017;52. doi:10.3760\/cma.j.issn.0529-567X.2017.08.006"},{"key":"2025082804420409000_17.6.e259093.29","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1111\/jog.13376","article-title":"Long-term efficacy and safety of aromatase inhibitor use for leiomyomatosis peritonealis disseminata","volume":"43","author":"Ando","year":"2017","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082804420409000_17.6.e259093.30","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/AOG.0000000000003112","article-title":"Ulipristal acetate for disseminated peritoneal leiomyomatosis","volume":"133","author":"Benlolo","year":"2019","journal-title":"Obstet Gynecol"},{"key":"2025082804420409000_17.6.e259093.31","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/00015458.2016.1139833","article-title":"Leiomyomatosis peritonealis disseminata: case report and review of the literature","volume":"116","author":"Nassif","year":"2016","journal-title":"Acta Chir Belg"},{"key":"2025082804420409000_17.6.e259093.32","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.ejogrb.2016.05.025","article-title":"Parasitic leiomyomas: a systematic review","volume":"203","author":"Lete","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082804420409000_17.6.e259093.33","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/j.jmig.2019.07.025","article-title":"Laparoscopic radiofrequency ablation of uterine leiomyomas: clinical outcomes during early adoption into surgical practice","volume":"27","author":"Jacoby","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082804420409000_17.6.e259093.34","unstructured":"Bhattacharya S , Pati S , Naskar A , et al . An atypical case of pelvic leiomyomatosis peritonealis disseminata."},{"key":"2025082804420409000_17.6.e259093.35","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229564","article-title":"Leiomyomatosis peritonealis disseminata: a rare disease with a difficult diagnosis","volume":"12","author":"Martins Jord\u00e3o","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082804420409000_17.6.e259093.36","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.17576\/jsm-2020-4906-12","article-title":"Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report","volume":"49","author":"Tehrani","year":"2020","journal-title":"JSM"},{"key":"2025082804420409000_17.6.e259093.37","first-page":"394106","article-title":"An unusual presentation of pelvic leiomyomatosis misdiagnosed as disseminated malignancy","volume":"2012","author":"Marwah","year":"2012","journal-title":"Case Rep Pathol"},{"key":"2025082804420409000_17.6.e259093.38","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s10397-010-0562-7","article-title":"Disseminated peritoneal leiomyomatosis","volume":"7","author":"Tourlakis","year":"2010","journal-title":"Gynecol Surg"},{"key":"2025082804420409000_17.6.e259093.39","doi-asserted-by":"crossref","first-page":"5301","DOI":"10.1177\/0300060519859137","article-title":"Disseminated peritoneal leiomyomatosis following laparoscopic myomectomy: a case report","volume":"47","author":"Xiao","year":"2019","journal-title":"J Int Med Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:42:18Z","timestamp":1756381338000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":39,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,11]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2023-259093"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259093","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}