Disseminated peritoneal leiomyomatosis (DPL) is a rare entity, occuring pri
marily in premenopausal women. The lesion is characterized by numerous subp
eritoneal nodules of benign smooth muscle proliferations which usually mimi
cs the macroscopic appearance of the peritoneal carcinomatosis. We report a
case of DPL and multiple uterine leiomyomas, occuring in a 50 year old pre
menopausal woman who was on oral contraceptives for the last three years. I
n order to diagnose this entity clinicians and pathologists have to be aler
t and collaborative during the intraoperative frozen section consultation.