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VOLUME 7 , ISSUE 1 ( January-June, 2019 ) > List of Articles

CASE REPORT

A Rare Case of Broad Ligament Fibroid: A Case Report

Kamala Verma, Santosh Kumari

Keywords : Broad ligament, Laparotomy, Leiomyoma

Citation Information : Verma K, Kumari S. A Rare Case of Broad Ligament Fibroid: A Case Report. J South Asian Feder Menopause Soc 2019; 7 (1):37-41.

DOI: 10.5005/jp-journals-10032-1168

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Background: The broad ligament is the commonest extrauterine site for occurrence of leiomyoma. Because of its rarity, it poses both clinical and radiological difficulties in differentiating against an ovarian tumor. Case description: We are presenting a rare case of leiomyoma of broad ligament in a 45-year-old female with complaints of lower abdominal lump, pain, and menstrual abnormality. On clinical examination, there was a 18-week-old firm, nontender, and mobile mass extending to the umbilicus. Ultrasound pelvis showed a large hypoechoic lesion of 17 cm × 11 cm × 10.3 cm with internal vascularity in pelvis predominantly on the left side. MRI pelvis showed similar findings. IVP was normal. Result: Laparotomy showed a huge false left-sided broad ligament leiomyoma measuring 17 × 15 cm. Histopathology confirmed it to be a soft tissue tumor-leiomyoma. Conclusion: Broad ligament leiomyomas mimic ovarian tumors on clinical and radiological examination and may pose difficulties in differentiating both. Its diagnosis is difficult on clinical and radiological features owing to its unusual presentation. Thus histopathology plays an important role in confirming its diagnosis. Clinical significance: We present this case because of its rarity and the diagnostic difficulties it posed.


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  1. Kumar P, Malhotra N. Jeffcoate's Principles of Gynaecology, 7th ed., New Delhi: Jaypee Brothers; 2008. p. 492.
  2. Jeffcoate N. Tumors of corpus uteri. In: Batla N. ed. Jeffcoate's Principles of Gynaecology, 6th ed., Delhi: Arnold Publication; 2001. pp. 466–497.
  3. Neha G, Manisha L. A Rare Case of Giant Broad Ligament Fibroid with Cervical Fibroid Mimicking Ovarian Tumour. Int J Recent Trends Sci Technol 2014;10:208–209.
  4. Thor AD, Young RH, et al. Pathology of fallopian tube, broad ligament, peritoneum and pelvic soft tissues. Hum Pathol 1991;22:856–867. DOI: 10.1016/0046-8177(91)90174-N.
  5. Stewart EA. Uterine Fibroids. Lancet 2001;357:293–298. DOI: 10.1016/S0140-6736(00)03622-9.
  6. Godbole RR, Laksmi KS, et al. Rare case of giant broad ligament fibroid with myxoid degeneration. J Sci Soc 2012;39:144–146.
  7. Rajanna DK, Pandey V, et al. Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and computed tomography scan. J Clin Imaging Sci 2013;3:8. DOI: 10.4103/2156-7514.107912.
  8. Duhan N, Singh S, et al. Primary leiomyosarcoma of the broad ligament: case report and review of literature. Arch Gynecol Obstet 2009;279:705–708. DOI: 10.1007/s00404-008-0777-2.
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