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Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report

Disseminated peritoneal leiomyomatosis (DPL) is a rare condition characterized by the development of multiple smooth muscle-like nodules in extra-uterine region specifically in the peritoneal cavity. We introduce a case of DPL in a 50 year-old-female who presented with symptoms of abdominal pain s...

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Main Authors: Tehrani, Seyed Jalaledin Tahsildar, Thean, Yean Kew, Mohd Amir Mohd Amir Kamaruzzaman,
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15469/1/12.pdf
http://journalarticle.ukm.my/15469/
http://www.ukm.my/jsm/malay_journals/jilid49bil6_2020/KandunganJilid49Bil6_2020.html
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spelling my-ukm.journal.154692020-10-30T04:41:34Z http://journalarticle.ukm.my/15469/ Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report Tehrani, Seyed Jalaledin Tahsildar Thean, Yean Kew Mohd Amir Mohd Amir Kamaruzzaman, Disseminated peritoneal leiomyomatosis (DPL) is a rare condition characterized by the development of multiple smooth muscle-like nodules in extra-uterine region specifically in the peritoneal cavity. We introduce a case of DPL in a 50 year-old-female who presented with symptoms of abdominal pain suspicious for bowel obstruction. With the previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) since 10 years ago, bowel obstruction due to adhesion was the first provisional diagnosis. The following CT imaging of the abdomen showed a mass within the pelvis with subsequent laparotomy and evacuation of the mass. Biopsy and histopathology result showed leiomyoma. Second episode of bowel symptoms appeared one year later with abdomino-pelvic CT imaging demonstrated the recurrence of the mass at the same location within the pelvis and she was proceeded with removal of mass with similar histopathological result. While the growth of leiomyoma is mainly dependent on oestrogen hormones, absence of the ovaries as the main source of oestrogen in our case, makes it less likely to become a differential diagnosis. So far, few cases of DPL have been reported in post menopause women. This case report may bring clinical implication in term of guideline management of DPL. A careful history taking and thorough investigation with multidisciplinary experts involvement become a crucial aspect for DPL to be suspected so that the appropriate management, surgical intervention, subsequent follow up and surveillance can be achieved to improve patient outcome. Penerbit Universiti Kebangsaan Malaysia 2020-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15469/1/12.pdf Tehrani, Seyed Jalaledin Tahsildar and Thean, Yean Kew and Mohd Amir Mohd Amir Kamaruzzaman, (2020) Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report. Sains Malaysiana, 49 (6). pp. 1345-1350. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid49bil6_2020/KandunganJilid49Bil6_2020.html
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Disseminated peritoneal leiomyomatosis (DPL) is a rare condition characterized by the development of multiple smooth muscle-like nodules in extra-uterine region specifically in the peritoneal cavity. We introduce a case of DPL in a 50 year-old-female who presented with symptoms of abdominal pain suspicious for bowel obstruction. With the previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) since 10 years ago, bowel obstruction due to adhesion was the first provisional diagnosis. The following CT imaging of the abdomen showed a mass within the pelvis with subsequent laparotomy and evacuation of the mass. Biopsy and histopathology result showed leiomyoma. Second episode of bowel symptoms appeared one year later with abdomino-pelvic CT imaging demonstrated the recurrence of the mass at the same location within the pelvis and she was proceeded with removal of mass with similar histopathological result. While the growth of leiomyoma is mainly dependent on oestrogen hormones, absence of the ovaries as the main source of oestrogen in our case, makes it less likely to become a differential diagnosis. So far, few cases of DPL have been reported in post menopause women. This case report may bring clinical implication in term of guideline management of DPL. A careful history taking and thorough investigation with multidisciplinary experts involvement become a crucial aspect for DPL to be suspected so that the appropriate management, surgical intervention, subsequent follow up and surveillance can be achieved to improve patient outcome.
format Article
author Tehrani, Seyed Jalaledin Tahsildar
Thean, Yean Kew
Mohd Amir Mohd Amir Kamaruzzaman,
spellingShingle Tehrani, Seyed Jalaledin Tahsildar
Thean, Yean Kew
Mohd Amir Mohd Amir Kamaruzzaman,
Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
author_facet Tehrani, Seyed Jalaledin Tahsildar
Thean, Yean Kew
Mohd Amir Mohd Amir Kamaruzzaman,
author_sort Tehrani, Seyed Jalaledin Tahsildar
title Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
title_short Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
title_full Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
title_fullStr Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
title_full_unstemmed Disseminated peritoneal lieomyomatosis after 10 years post TAHBSO: a case report
title_sort disseminated peritoneal lieomyomatosis after 10 years post tahbso: a case report
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2020
url http://journalarticle.ukm.my/15469/1/12.pdf
http://journalarticle.ukm.my/15469/
http://www.ukm.my/jsm/malay_journals/jilid49bil6_2020/KandunganJilid49Bil6_2020.html
_version_ 1683231749137498112
score 13.211869

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