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Disseminated Peritoneal Leiomyomatosis After Uterine Artery Embolization

  • Kyle A. Batton
  • Beau B. Toskich
  • Jordan D. LeGout
  • Candice W. Bolan
  • Matthew T. Grove
  • Jason T. Lewis
  • J. Mark McKinney
  • Tara J. Brigham
  • Barbara L. McComb
Case Report
  • 16 Downloads

Abstract

Disseminated peritoneal leiomyomatosis (DPL) is a rare variant of extrauterine leiomyomatosis with reported spontaneous and iatrogenic occurrences. It has been associated with hysterectomy and myomectomy. To our knowledge, reports have not yet substantiated occurrence following uterine artery embolization (UAE), which has become a routine minimally invasive alternative to surgery for the treatment of symptomatic leiomyomata. This report presents the case of a nulliparous premenopausal woman with no other contributory history who presented with DPL 3 years after UAE. The presentation of this patient suggests the potential for a causal relationship between UAE and DPL.

Keywords

Uterine artery embolization Uterine fibroid embolization Disseminated peritoneal leiomyomatosis Leiomyomatosis peritonealis disseminata 

Notes

Compliance with Ethical Standards

Conflict of interest

Beau Toskich is an advisor to Boston Scientific. The other authors declare that they have no conflict of interest.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    Nguyen D, Maheshwary R, Tran C, Rudkin S, Treaster L. Diffuse peritoneal leiomyomatosis status post laparoscopic hysterectomy with power morcellation: a case report with review of literature. Gynecol Oncol Rep. 2017;19:59–61.  https://doi.org/10.1016/j.gore.2017.01.001.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Schirf B, Vogelzang R, Chrisman H. Complications of uterine fibroid embolization. Semin Interv Radiol. 2006;23(2):143–9.  https://doi.org/10.1055/s-2006-941444.CrossRefGoogle Scholar
  3. 3.
    Kogan D, Reichner C, Fishman M, Bowles-Johnson G, Anderson E. Benign metastasizing leiomyoma after uterine artery embolization. Chest. 2012;142(4):978A.  https://doi.org/10.1378/chest.1388097.CrossRefGoogle Scholar
  4. 4.
    Yoon J, Spies JB, Caridi TM. Benign metastasizing leiomyomas following myomectomy and uterine artery embolization. Cardiovasc Interv Radiol. 2017;40(11):1796–9.  https://doi.org/10.1007/s00270-017-1696-z.CrossRefGoogle Scholar
  5. 5.
    Taubert HD, Wissner SE, Haskins AL. Leiomyomatosis peritonealis disseminata; an unusual complication of genital leiomyomata. Obs Gynecol. 1965;25:561–74.Google Scholar
  6. 6.
    Awonuga AO, Shavell VI, Imudia AN, Rotas M, Diamond MP, Puscheck EE. Pathogenesis of benign metastasizing leiomyoma: a review. Obstet Gynecol Surv. 2010;65(3):189–95.CrossRefPubMedGoogle Scholar
  7. 7.
    Halama N, Grauling-Halama SA, Daboul I. Familial clustering of leiomyomatosis peritonealis disseminata: an unknown genetic syndrome? BMC Gastroenterol. 2005;5:33.  https://doi.org/10.1186/1471-230x-5-33.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Thiry T, Dohan A, Naneix AL, Pocard M, Guerrache Y, Fazel A, Soyer P. Diffuse abdominopelvic leiomyomatosis: CT and MR imaging findings with histopathological correlation. Diagn Interv Imaging. 2014;95:105–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Bolan C, Caserta MP. MR imaging of atypical fibroids. Abdom Radiol. 2016;41(12):2332–49.CrossRefGoogle Scholar
  10. 10.
    Kitajima K, Murakami K, Kaji Y, Sugimura K. Spectrum of FDG PET/CT findings of uterine tumors. Am J Roentgenol. 2010;195(3):737–43.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Kyle A. Batton
    • 1
  • Beau B. Toskich
    • 2
  • Jordan D. LeGout
    • 2
  • Candice W. Bolan
    • 2
  • Matthew T. Grove
    • 2
  • Jason T. Lewis
    • 3
  • J. Mark McKinney
    • 2
  • Tara J. Brigham
    • 4
  • Barbara L. McComb
    • 2
  1. 1.Florida State University College of MedicineTallahasseeUSA
  2. 2.Department of RadiologyMayo ClinicJacksonvilleUSA
  3. 3.Department of Laboratory Medicine and PathologyMayo ClinicJacksonvilleUSA
  4. 4.A Winn-Dixie Foundation Medical LibraryMayo ClinicJacksonvilleUSA

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