Disseminated Peritoneal Leiomyomatosis Mimicking Ovarian Torsion

Chau-Yang Tyan ； Meng-Han Chou ； Ying-Chieh Chen ； Yu-Chun Lin ； Her-Young Su

《Journal of Medical Sciences》 35卷2期 (2015/04) Pp. 85-87

https://doi.org/10.4103/1011-4564.156024

摘要

The presentation of disseminated peritoneal leiomyomatosis (DPL) can be misleading. Herein, we present the case of a 42-yearold nulliparous female who had previously undergone a total hysterectomy and presented with an acute abdomen. A presumptive diagnosis of ovarian torsion was made based on the clinical findings and an ultrasonographic examination. A diagnostic laparoscopy was performed immediately. DPL was subsequently diagnosed based on an intra-operative frozen section during surgical exploration and the final histopathologic examination. This case illustrates an atypical presentation of DPL mimicking ovarian torsion.

關鍵字

Disseminated peritoneal leiomyomatosis ； ovarian torsion ； acute abdomen