Huge Broad Ligament Leiomyoma: A Case Report

Fatima Bakari^*, Hajaratu U. Sulayman, Solomon Avidime, Nkeirukah Ameh, Adebiyi G. Adesiyun

Department of Obstetris and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

DOI: 10.4236/crcm.2015.42013                

Abstract

The broad ligament is the commonest extra uterine site for the occurrence of leiomyoma but with a very low incidence rate. Because of its overall low incidence rate, it poses both clinical and radiological difficulty in differentiating with an ovarian tumour. We report a case of a 31-year-old unmarried nullipara (para 0 + 0) who presented with 12-month history of progressive abdominal swelling, three-month history of pelvic pain and one-month history of prolonged heavy menstrual flow. Examination of the abdomen showed a 36-week-size mass which was multi-lobulated, firm, non tender and slightly mobile extending to the xyphisternum. On abdominal ultrasonography scan, the uterus was deviated to the contra lateral side with a huge, irregular mass measuring 24 × 18 cm posterior to the uterus. She had laparotomy and four fibroid seedlings were removed. The largest was a broad ligament myoma which measured 24 × 17 × 12 cm and weighed 3883 g.

Keywords

Broad Ligament, Leiomyoma, Myomectomy

Conflicts of Interest

The authors declare no conflicts of interest.

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