Broad ligament myoma: a case managed by vaginal hysterectomy and broad ligament myomectomy

Authors

  • Prema Kania Department of Obstetrics and Gynaecology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
  • Shubhdeep Kaur Department of Obstetrics and Gynaecology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220585

Keywords:

Leiomyoma, Broad ligament leiomyoma, Ureteric injury, Vault suspension

Abstract

The broad ligament is the commonest extra uterine site for leiomyoma but with low incidence rate. We present a patient with complaints of lower abdominal pain and premenstrual spotting per vaginum. Abdominal examination revealed a huge firm mass arising from the pelvis corresponding to 10–12-week size. Cervix was deviated to right and elevated but felt separable of the mass. Ultrasonographic examination showed left adnexal 9 cm fibroid beside the uterus suggesting broad ligament fibroid. Laparoscopy was planned but vaginal hysterectomy was attempted considering the expertise of the surgeon and previous 2 vaginal deliveries. Non descending vaginal hysterectomy was done to increase the space and working field for performing the broad ligament myomectomy. Extreme care was taken to avoid the ureteric injury. This case was reported because of the rare incidence of broad ligament leiomyoma and the difficulty in its operative management.

References

Neha G, Manisha L. A Rare Case of Giant Broad Ligament Fibroid with Cervical Fibroid Mimicking Ovarian Tumor. International Journal of Recent Trends in Science and Technology. 2014;10.2:208-9.

Bhatta N. Tumors of the Corpus Uteri. Jeffcoat’s Principles of Gynecology. 6the Edition, Arnold Printers, London. 2001;470.

Parker WH. Uterine Myoma: An Overview of Development, Clinical Features and Management. . 2005;105.1:216-7.

Rajesh S, Adam M. Benign Metastasizing Leiomyoma: ‘A Sheep in Wolf’s Clothing. Community Oncology. 2013;10:122-5.

Dayananda KR, . Broad Ligament Fibroid Mimicking as Ovarian Tumor on Ultrasonography and CT Scan. Journal of Clinical Imaging Science. 2013;3.

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Published

2022-02-25

Issue

Section

Case Reports