Huge Broad Ligament Leiomyoma: A Case Report
Author(s)
Fatima Bakari*,
Hajaratu U. Sulayman,
Solomon Avidime,
Nkeirukah Ameh,
Adebiyi G. Adesiyun
Affiliation(s)
Department of Obstetris and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Department of Obstetris and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
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.
Cite this paper
Bakari, F. , Sulayman, H. , Avidime, S. , Ameh, N. and Adesiyun, A. (2015) Huge Broad Ligament Leiomyoma: A Case Report. Case Reports in Clinical Medicine, 4, 55-59. doi: 10.4236/crcm.2015.42013.
Bakari, F. , Sulayman, H. , Avidime, S. , Ameh, N. and Adesiyun, A. (2015) Huge Broad Ligament Leiomyoma: A Case Report. Case Reports in Clinical Medicine, 4, 55-59. doi: 10.4236/crcm.2015.42013.
References
[1] Neha, G. and Manisha, L. (2014) A Rare Case of Giant Broad Ligament Fibroid with Cervical Fibroid Mimicking Ovarian Tumour. International Journal of Recent Trends in Science and Technology, 10, 208-209. [2] Bhatta, N. (2001) Tumours of the Corpus Uteri. Jeffcoats Principles of Gynaecology. 6th Edition, Arnold Printers, London, 470. [3] Parker, W.H. (2005) Uterine Myoma: An Overview of Development, Clinical Features and Management. Obstetrics Gynecology, 105, 216-217. http://dx.doi.org/10.1097/01.AOG.0000150453.10906.b6 [4] Rajesh, S. and Adam, M. (2013) Benign Metastasizing Leiomyoma: “A Sheep in Wolf’s Clothing”. Community Oncology, 10, 122-125. [5] Dayananda, K.R., Vaibhav, P., Sujid, J. and Sujatha, N.D. (2013) Broad Ligament Fibroid Mimicking as Ovarian Tumour on Ultrasonography and CT Scan. Journal of Clinical Imaging Science, 3, 8.
http://dx.doi.org/10.4103/2156-7514.107912 [6] Stewart, E.A. (2001) Uterine Fibroid. Lancet, 357, 293-298.
http://dx.doi.org/10.1016/S0140-6736(00)03622-9 [7] Jagtap, S.V., Gupta, A. and Kshirsaga, N.S. (2014) Broad Ligament Myoma Mimicking as Ovarian Tumour. Scholars Journal of Applied Medical Sciences, 2, 258-260. [8] Shabeen, N., Yasir, M. and Janta, M. (2014) Diagnostic Dilemma in Broad Ligament Leiomyoma with Cystic Degeneration. Pakistan Journal of Medical Sciences, 30, 452-454.
[1] Neha, G. and Manisha, L. (2014) A Rare Case of Giant Broad Ligament Fibroid with Cervical Fibroid Mimicking Ovarian Tumour. International Journal of Recent Trends in Science and Technology, 10, 208-209. [2] Bhatta, N. (2001) Tumours of the Corpus Uteri. Jeffcoats Principles of Gynaecology. 6th Edition, Arnold Printers, London, 470. [3] Parker, W.H. (2005) Uterine Myoma: An Overview of Development, Clinical Features and Management. Obstetrics Gynecology, 105, 216-217. http://dx.doi.org/10.1097/01.AOG.0000150453.10906.b6 [4] Rajesh, S. and Adam, M. (2013) Benign Metastasizing Leiomyoma: “A Sheep in Wolf’s Clothing”. Community Oncology, 10, 122-125. [5] Dayananda, K.R., Vaibhav, P., Sujid, J. and Sujatha, N.D. (2013) Broad Ligament Fibroid Mimicking as Ovarian Tumour on Ultrasonography and CT Scan. Journal of Clinical Imaging Science, 3, 8.
http://dx.doi.org/10.4103/2156-7514.107912 [6] Stewart, E.A. (2001) Uterine Fibroid. Lancet, 357, 293-298.
http://dx.doi.org/10.1016/S0140-6736(00)03622-9 [7] Jagtap, S.V., Gupta, A. and Kshirsaga, N.S. (2014) Broad Ligament Myoma Mimicking as Ovarian Tumour. Scholars Journal of Applied Medical Sciences, 2, 258-260. [8] Shabeen, N., Yasir, M. and Janta, M. (2014) Diagnostic Dilemma in Broad Ligament Leiomyoma with Cystic Degeneration. Pakistan Journal of Medical Sciences, 30, 452-454.