Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 2 ( March-April, 2023 ) > List of Articles


Broad Ligament Leiomyoma Masquerading as Ovarian Tumor

Isha Nandal, Krishna Dahiya, Roopa Malik, Alisha Goyal

Keywords : Broad ligament, Leiomyoma, Ovarian carcinoma

Citation Information : Nandal I, Dahiya K, Malik R, Goyal A. Broad Ligament Leiomyoma Masquerading as Ovarian Tumor. J South Asian Feder Obs Gynae 2023; 15 (2):243-245.

DOI: 10.5005/jp-journals-10006-2140

License: CC BY-NC 4.0

Published Online: 11-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Extrauterine leiomyoma is a rare tumor that often presents a diagnostic challenge for the clinician. Secondary changes that commonly occur are hemorrhage, infection, degeneration, necrosis, and rarely sarcomatous transformation. We are reporting a case of true broad ligament fibroid to shed light on the diagnostic difficulties and surgical complications they can pose. Case description: A 73-years old multiparous lady with the last birth of child 40 years back, came with complaints of abdominal mass of approximate size of a football for the past 7 years with pain in lower abdomen associated with loss of appetite and weight loss for 2 months. On abdominal examination, there was a mass of 32–34 weeks size was found, which was arising out of the pelvis, non-tender, firm to cystic in consistency with regular margins, and mobile from side to side. The patient underwent an exploratory laparotomy. During operation, an abdominopelvic mass of approximately 35 cm × 28 cm × 20 cm was seen with a firm to cystic consistency next to the uterus and between the folds of the broad ligament. Conclusion: This case in a post-menopausal lady is rare in respect of its location in the broad ligament and also due to the degenerative changes in the leiomyoma which mimicked ovarian malignancy both clinically and radiologically, creating diagnostic challenges. Clinical significance: Preoperative diagnosis by Doppler ultrasound and magnetic resonance imaging (MRI) is important to prevent further injuries to pelvic organs. Surgery is the mainstay of treatment for broad ligament fibroid.

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