CT findings of six patients with pathologically proved malignant perit
oneal disease secondary to leiomyosarcomas were reviewed. Peritoneal i
mplants, hepatic metastases and ascites were found in five, five and t
wo, of the six patients, respectively. Neither lymphadenopathies, diff
use peritoneal mesenteric involvement, nor intralesional calcification
were observed. Although infrequent, peritoneal leimyosarcomatosis sho
uld be included in the differential CT diagnosis of carcinomatosis.