DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20194897

A case report on broad ligament fibroid mistaken as pregnancy

Shirish Dulewad, Pooja Chandak

Abstract


Leiomyoma is the commonest benign uterine condition arising from smooth muscles. Extra uterine leiomyoma is rare. The incidence of broad ligament fibroid is less than 1%. Because of its rarity broad ligament fibroid poses specific diagnostic difficulties causing an error in making the final diagnosis and therefore the management. Here we report a case of rare broad ligament fibroid got neglected sadly in this modern era, where the facilities like USG which can easily diagnose this rare entity are readily available. Presented as ANC with no labor pains and accidentally diagnosed as a case of huge broad ligament fibroid. Managed surgically by myomectomy with conservation of uterus and bilateral internal iliac artery ligation for minimizing bleeding.


Keywords


Broad ligament fibroid, Conservative management, Mistaken pregnancy, Need of health care at grass root level, Uterine artery ligation

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References


Fasih N, Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiograph. 2008;28:148-93.

Hada A, Sen S. Rare case of broad ligament fibroid with cystic degeneration. Int J Reprod Contracept Obstet Gynecol. 2016;5:3226-8.

Rajanna DK, Pandey V, Janardhan S, Datti SN. Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and computed tomography scan. J Clin Imaging Sci. 2013;3:8.

Rajput DA, Gedam JK. Broad ligament fibroid: a case series. IJSS Case Report Reviews. 2015;1(11):8-11.

Bhatla N. Tumours of the corpus uteri. In: Jeffcoats Principles of Gynaecology 6th edn. Arnold Printers, London; 2001:470.

Kumar P, Malhotra N. Tumours of the corpus uteri and tumours of the pelvic ligament. In: Jeffcoat's Principles of Gynaecology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2008:487-516, 523.

Bansal P, Garg D. A case of massive broad ligament leiomyoma imitating an ovarian tumour. J Clin Diagn Res. 2014;8:136-7.

Moyle PL, Kataoka MY, Nakai A, Takahata A, Reinhold C, Sala E. Nonovarian cystic lesions of the pelvis. Radiograph. 2010;30:921-38.