We report on a case of disseminated peritoneal leiomyomatosis (LPD). Disseminated peritoneal fibroids are a very rare medical condition, only up to 50 cases can be found in the international literature. Our patient, a 48-year-old caucasian woman, complained of right sided pelvic pain. Her medical history included vaginal hysterectomy for dysmenorrhea six years before. She had a BMI of 30 and had never used hormonal contraceptives. Sonography revealed multiple small tumors in the pelvis and some free fluid in the abdominal cavity. CA 125 was elevated, which led to the presumptive diagnosis of ovarian cancer. Intraoperatively, we found disseminated leiomyomas in the ovaries, greater omentum and the peritoneum which were resected. Histopathologic workup showed that the grade of proliferation of the fibroids was less than 1%. As this rare disease has a good prognosis without further treatment, no postoperative therapy was planned.
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