Diffuse uterine leiomyomatosis with ovarian and parametrial involvement

Background: Diffuse uterine leiomyomatosis is a rare, benign entity and app roximately 30 cases have been described previously. Case: A 42-year-old woman who complained of abdominal pain had a pelvic ult rasound scan showing a uterine mass. During the operation, the surgeon obse rved that both ovaries, the broad ligament, and the pelvis contained variou s nodules of striking size. On sectioning, uterus and ovaries contained mul tiple nodules of elastic consistency; microscopically, all consisted of ben ign smooth muscle tissue. Conclusion: Leiomyomatosis may exhibit concomitant parametrial, pelvic, and bilateral ovarian involvement. (C) 2001 by The American College of Obstetr icians and Gynecologists.