Utero-ovarian ligament fibroid-an unusual location of extrauterine fibroids


  • Arunima Saini Department of Obstetrics and Gynaecology, AIIMS, Jodhpur, Rajasthan, India
  • Meenakshi Gothwal Department of Obstetrics and Gynaecology, AIIMS, Jodhpur, Rajasthan, India
  • Pratibha Singh Department of Obstetrics and Gynaecology, AIIMS, Jodhpur, Rajasthan, India
  • Garima Yadav Department of Obstetrics and Gynaecology, AIIMS, Jodhpur, Rajasthan, India




Broad ligament fibroid, Leiomyoma, Utero-ovarian ligament


Utero-ovarian ligament fibroids are among the rarest sites for extrauterine leiomyomas. Broad ligament fibroids are relatively common. They can be either asymptomatic or present with chronic pelvic pain and pressure symptoms. They can be confused with an ovarian mass, broad ligament cyst or a pedunculated fibroid. There are high chances of missing it clinically. Ultrasonography, magnetic resonance imaging (MRI) and computed tomography scan are the imaging techniques used to diagnose such conditions, MRI being the most accurate in ruling out other broad ligament masses with suspected ovarian, tubal or isolated broad ligament cyst. Here is a rare case report of a pedunculated extrauterine leiomyoma with its origin in the utero-ovarian ligament.


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.

Parker WH. Uterine myomas: An overview of development, clinical features, and management. Obstet Gynecol. 2005;105:216-7.

Thor AD, Young RH, Clement PB. Pathology of fallopian tube, broad ligament, peritoneum and pelvic soft tissues. Hum Pathol. 1991;22:856-67.

Bardawil T, Chelmow D. Broad Ligament Disorders: Overview, Disorders of the Broad Ligament, Broad Ligament Tumors. Available at: https://emedicine.medscape.com/article/275773-overview. Accessed on 19 May 2019.

Berek JS. Benign diseases of the female reproductive tract. Novack’s Gynaecology. 15th ed. New Delhi: Lippincott Williams and Wilkins, Wolters Kluwer, India. 2007;470.

Bansal P, Garg D. A Case of Massive Broad Ligament Leiomyoma Imitating an Ovarian Tumor. J Clin Diagn Res. 2014;8(3):136-7.

Kumari R, Vandana, Kulshrestha V, Sharma JB, Kriplani A. A case of broad ligament leiomyoma presenting as an ovarian mass. Int J Reprod Contracept Obstet Gynecol. 2017;6(6):2635-7.

Low SCA, Chong CL. A case of cystic leiomyoma mimicking as ovarian malignancy. Ann Acad Med Singapore. 2004;33:371-4.

Fasih N, Shanbhogue PAK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ et al. Leiomyomas beyond the uterus: Unusual locations, rare manifestations. Radiograph. 2008;28:1931-48.

Bakari F, Sulayman HU, Avidime S, Ameh N, Adesiyun AG. Huge Broad Ligament Leiomyoma: A Case Report. Case Reports in Clin Med. 2015;4:55-9.






Case Reports