Leiomyomatosis peritonealis disseminata in a postmenopausal woman

Leiomyomatosis peritonealis disseminata is an unusual and rare entity; 47 cases have been reported to date.Of those cases, only three were described in postmenopausal women (1 -3).Two cases were described in previously hysterectomized women (2, 4).Most of the cases were accompanied by estrogen increase; due to estrogen-secreting granulosa cell neoplasm, pregnancy or oral contraceptive use (5).Usually, most of the cases were found incidentally, during laparotomies performed for other reasons.Here we present an unusual case of LPD in an 82 year old obese menopausal woman with adnexa and uterus completely removed 40 years ago, with no evidence of endometriosis at that time.