Leiomyomatosis peritonealis disseminata complicated by sarcomatous transformation and ovarian torsion: presentation of two cases and review of the literature

被引:43
作者
Fulcher, AS [1 ]
Szucs, RA [1 ]
机构
[1] Virginia Commonwealth Univ, Med Coll Virginia, Dept Radiol, Richmond, VA 23298 USA
来源
ABDOMINAL IMAGING | 1998年 / 23卷 / 06期
关键词
uterine neoplasms; peritoneum; leiomyosarcoma; MR; CT; US;
D O I
10.1007/s002619900421
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Leiomyomatosis peritonealis disseminata (LPD) is a rare disorder usually discovered incidentally in women of child-bearing age and is characterized by multiple subperitoneal smooth muscle nodules. Case reports of two patients with complications related to LPD and a review of the literature are presented. In one case, the patient carried the diagnosis of LPD for 11 years and experienced sarcomatous transformation; this is the first report of the magnetic resonance appearance of this entity. In the second case, LPD was diagnosed after an LPD implant on the ovary-induced ovarian torsion. We also present a patient in whom large, pedunculated uterine leiomyomas mimicked LPD. The clinical presentation, possible pathogenesis, imaging features, and therapeutic options of LPD are reviewed. Because this uncommon condition is being reported with increasing frequency, familiarity with its imaging features and pitfalls is important to suggest the diagnosis in the appropriate clinical setting.
引用
收藏
页码:640 / 644
页数:5
相关论文
共 19 条
[1]   COMPUTED-TOMOGRAPHY OF LEIOMYOMATOSIS PERITONEALIS-DISSEMINATA WITH MALIGNANT TRANSFORMATION [J].
ABULAFIA, O ;
ANGEL, C ;
SHERER, DM ;
FULTZ, PJ ;
BONFIGLIO, TA ;
DUBESHTER, B .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 169 (01) :52-54
[2]   MALIGNANT LEIOMYOMATOSIS PERITONEALIS DISSEMINATA [J].
AKKERSDIJK, GJM ;
FLU, PK ;
GIARD, RWM ;
VANLENT, M ;
WALLENBURG, HCS .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1990, 163 (02) :591-593
[3]   DISSEMINATED PERITONEAL LEIOMYOMATOSIS - AN UNUSUAL CASE [J].
BOURGAIN, C ;
PIERRE, E ;
DEVITS, A ;
AMY, JJ ;
KLOPPEL, G .
PATHOLOGY RESEARCH AND PRACTICE, 1994, 190 (05) :500-504
[4]  
BRUMBACK RA, 1985, SURGERY, V97, P707
[5]  
Gana B M, 1994, J R Coll Surg Edinb, V39, P258
[6]   LEIOMYOMATOSIS-PERITONEALIS DISSEMINATA TREATED WITH A GONADOTROPIN-RELEASING-HORMONE AGONIST - A CASE-REPORT [J].
HALES, HA ;
PETERSON, CM ;
JONES, KP ;
QUINN, JD .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1992, 167 (02) :515-516
[7]   INTRAVENOUS LEIOMYOMATOSIS OF UTERUS - MR APPEARANCE [J].
KAWAKAMI, S ;
SAGOH, T ;
KUMADA, H ;
KIMOTO, T ;
TOGASHI, K ;
NISHIMURA, K ;
HONDA, H ;
YAMADA, M ;
NOGUCHI, M .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (04) :686-689
[8]   LEIOMYOMATOSIS PERITONEALIS DISSEMINATA [J].
KOKCU, A ;
ALVUR, Y ;
BARIS, YS ;
KUSKONMAZ, I .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1994, 73 (01) :81-83
[9]  
LASHGARI M, 1994, J REPROD MED, V39, P652
[10]   LEIOMYOMATOSIS-PERITONEALIS-DISSEMINATA [J].
LAU, WY ;
LEUNG, ML ;
CHOW, CH ;
LI, AKC .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1990, 60 (03) :232-234