"Diffuse peritoneal leiomyomatosis is most common in females of reproductive age (20-45 years) but has also been reported in post-menopausal females and males 7,8."
"The cause of diffuse peritoneal leiomyomatosis is unclear 7,8. Theories suggest that it arises from submesothelial multipotent mesenchymal cells, and an iatrogenic cause following post-laparoscopic surgery for uterine fibroids, involving the implantation and growth of fragmented fibroids on the peritoneal surfaces 7,8."