Autoamputation of a pedunculated, subserosal uterine leiomyoma presenting as a giant peritoneal loose body

Arch Gynecol Obstet. 2015 Apr;291(4):951-3. doi: 10.1007/s00404-014-3580-2. Epub 2014 Dec 14.

Abstract

Peritoneal loose bodies (PLBs) are defined as fibrotic or calcified-free bodies within the peritoneal cavity; they commonly autoamputate from appendices epiploicae that have undergone torsion. Pedunculated, subserosal uterine leiomyomas (PSULs) are subserosal uterine leiomyomas connected to the uterus via a pedicle. In the present report, we describe the case of a PLB that originated from the autoamputation of a PSUL, confirmed based on histological evidence consistent with a uterine leiomyoma and the laparoscopic findings of a broken pedicle. This case clearly demonstrates the potential for a uterine leiomyoma to be the source of a PLB. Our findings contribute to the understanding of the etiological relationship between PLBs and uterine leiomyomas.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Laparoscopy
  • Leiomyoma / pathology
  • Leiomyoma / surgery*
  • Magnetic Resonance Imaging
  • Peritoneal Diseases / pathology*
  • Peritoneal Diseases / surgery
  • Peritoneum / pathology
  • Treatment Outcome
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*