Disseminated peritoneal leiomyomatosis (DPL) is rare clinical condition where multiple smooth muscle nodules or growth of various sizes implant on the peritoneal surface of the abdomen and pelvis. Disseminated peritoneal leiomyomatosis affects women in reproductive age. These diffuse tumors are usually incidentally found during surgery. Surgeons and pathologists face a challenge when dealing with DPL because its macroscopic appearances resembles peritoneal carcinomatosis. Here we report a case of 30 year old female Gravida 2, Para 1 with uncomplicated antenatal course presenting with multiple hard nodules noted over the surface of uterus, ovaries, bladder and omentum intraoperatively during caesarean section. The macroscopic appearance led to suspicion of some proliferative process. However the final diagnosis of DPL was made on histopathology.