A case of uterine lymphangioleiomyomatosis in a young woman that was identified via peritonitis. Issue 2 (19th October 2018)

• Record Type: Journal Article
• Authors: Yoshizawa, Hikari; Kawai, Satoshi; Hirota, Yutaka; Ueda, Takahiro; Kuroda, Makoto; Fujii, Takuma
• Is Part Of: Journal of obstetrics and gynaecology research. Volume 45:Issue 2(2019)
• Page Start: 482
• Page End: 486
• Publication Date: 2018-10-19
• Subjects: abscess -- lymphangioleiomyomatosis -- peritonitis -- tuberous sclerosis complex -- uterus; Gynecology -- Periodicals; Obstetrics -- Periodicals; 618.1005
• DOI: 10.1111/jog.13822
• Languages: English
• ISSNs: 1341-8076

Abstract

Abstract: Although lymphangioleiomyomatosis is often observed with tuberous sclerosis, uterine lymphangioleiomyomatosis is rare. Our patient was 36 years old (gravida 0, para 0). She had a history of tuberous sclerosis, and many myometrial cystic lesions were identified during assisted reproductive therapy. Although we administered a gonadotropin‐releasing hormone analog, myometrial cystic lesions increased in size. Therefore, simple hysterectomy, bilateral salpingo‐oophorectomy and pelvic lymph node biopsy were performed. Postoperative histology showed lymphangioleiomyomatosis and myometrial abscess. For uterine lesions in young women with tuberous sclerosis, the possibility of uterine lymphangioleiomyomatosis should also be considered.