U XƠ TỬ CUNG KÝ SINH VÀO PHÚC MẠC THÀNH BỤNG SAU PHẪU THUẬT NỘI SOI BÓC U XƠ CÓ DÙNG MÁY NGHIỀN BỆNH PHẨM: BÁO CÁO CHÙM CA BỆNH VÀ TỔNG QUAN TÀI LIỆU

Abstract

Leiomyomatosis perionealis dissminata (LPD) is a rare disease characterized by dissemination and proliferation of peritoneal and subperitoneal lesions primarily originated from smooth muscle cells. We report three cases of LPD after laparoscopic myomectomy at national hospital of obstetrics and gynecology. First, 42 – year – old woman who had two children, was indicated for laparoscopic myomectomy in 2015. In 2020, she went to her gynecologist complaining of abdominal pain. A MRI and ultrasound were performed and reported multiple pelvic masses, subsequently excised during laparotomy. An exploratory laparotomy revealed nodules on the peritoneum, greater omentum and terminal ileum. Second, 50 – year – old woman was also indicated for laparoscopic myomectomy in 2019. Under laparoscopic visualization, many LPD nodules involved the peritoneum, omentum and a 10 cm - nodule in diameter involving the surface of the rectum. Last, 49 – year – old woman who undergone laparoscopic myomectomy 7 years ago was identified a nodule in the suface of the large intestine under laparoscopic visualization. The final histological examination of all three cases confirmed the diagnosis of LPD. Their postoperative periods were uneventful, and the patients were discharged on postop day 6.