A rare case of true broad ligament fibroid in postmenopausal women: a minimally invasive approach

Abstract

Uterine leiomyomas are the most common benign tumors of the female reproductive tract, but broad ligament fibroids are rare, comprising less than 1% of cases. We report a case of a 62-year-old postmenopausal woman presenting with dull abdominal pain and backache. Clinical examination revealed a mobile pelvic mass consistent with a 12-week gravid uterus. Imaging suggested a right adnexal lesion, possibly a complex ovarian cyst or exophytic fibroid, with associated right-sided hydroureteronephrosis. Diagnostic laparoscopy identified a true broad ligament fibroid measuring approximately 6×6 cm. The patient underwent total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and fibroid excision. Histopathology confirmed leiomyoma. Broad ligament fibroids can mimic adnexal masses and pose diagnostic challenges. Laparoscopic excision is a safe and effective treatment in experienced hands.