Abstract
IntroductionDisseminated peritoneal leiomyomatosis is a rare disease. Almost all disseminated peritoneal leiomyomatosis cases described in the literature are associated with a gynecological disorder or a mass in the abdominal cavity. Disseminated peritoneal leiomyomatosis with only chronic constipation has not been reported in the English literature. We present a case of a patient with disseminated peritoneal leiomyomatosis who manifested solely with chronic constipation.Case presentationA 49-year-old premenopausal nulliparous Caucasian woman was admitted with complaints of abdominal distention and chronic constipation. Open subtotal colectomy with ileorectal anastomosis was performed. There were diffuse nodular and polypoid tumor formations in her colonic mesoderm. Based on morphological and pathological evaluation of the resection material, she was diagnosed with disseminated peritoneal leiomyomatosis.ConclusionsIn general, disseminated peritoneal leiomyomatosis is seen in women who are of childbearing age with estrogen hypersecretion. Preoperative diagnosis of disseminated peritoneal leiomyomatosis is almost impossible and it can be confused with disseminated intra-abdominal malignancies. There are no specific methods to diagnose disseminated peritoneal leiomyomatosis in a preoperative period.
Highlights
Disseminated peritoneal leiomyomatosis is a rare disease
Case presentation: A 49-year-old premenopausal nulliparous Caucasian woman was admitted with complaints of abdominal distention and chronic constipation
In general, disseminated peritoneal leiomyomatosis is seen in women who are of childbearing age with estrogen hypersecretion
Summary
It is important to diagnose DPL because some cases of DPL can show malignant transformation. Pathological evaluation is critical for diagnosing the disease. Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests The authors declare that they have no competing interests. Authors’ contributions SB, EC and EP were involved in the conception of the report, review of literature, manuscript preparation and submission. SC, MMS and EK were responsible for manuscript critique and review. All authors read and approved the final manuscript. Author details 1Department of General Surgery, Istanbul Training and Research Hospital, Kasap İlyas Mah. Org.
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