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ABDOMEN / Peritoneal space   45 / F,  Right frank pain
2019-12-27
About Author
Authors Heejin Kwon
Institution Dong-A University Hospital
E-mail risual@dau.ac.kr
About Case
Chief complaint
or Title
Right frank pain
Subspecialty ABDOMEN / Peritoneal space
Classification Neoplasm, benign / fibrous
Age 45 Sex F
Difficulty For resident, For specialist
Modality US, CT
Case Figures
CC
Click above Figure for more images.
Questions
What is your diagnosis?
Answer
Diagnosis 2. Diffuse peritoneal leiomyomatosis
Comments

Peritoneal leiomyomatosis

 

*Exceedingly rare benign disorder

Multiple vascular leiomyomas growing along the submesothelial tissues of the abdominopelvic peritoneum

 

 

*Strong influence of hormonal factors

Pregnancy, long-term use of oral contraceptives, and, occasionally, granulosa cell tumors of the ovary

Rarely in men in whom no excess of hormones was identifiable

In postmenopausal women


 

*US, CT findings

 

Multiple solid subcentimetric nodules like those in peritoneal carcinomatosis to large solid masses

Homogeneous or heterogeneous attenuation with a variable enhancement pattern similar to that of uterine leiomyomas

 

*MR findings

Signal intensity similar to that of skeletal muscle and smooth muscle on both T1- and T2-weighted images 

Homogeneous enhancement following the administration of contrast material




References
Keywords Peritoneum , tumor
Attachment File -

Number of Applicants : 45
Correct Answer 38
Mayo Clinic Akitoshi Inoue
Univ. of Tsukuba Hiroaki Takahashi
Mallinckrodt Institute of Radiology Naganathan Mani
Nagahama City Hospital Ryo Uemura
The University of Tokyo Hospital Toshihiro Furuta
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