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
, 55-59. doi: 10.4236/crcm.2015.42013
 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.
 Bhatta, N. (2001) Tumours of the Corpus Uteri. Jeffcoats Principles of Gynaecology. 6th Edition, Arnold Printers, London, 470.
 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
 Rajesh, S. and Adam, M. (2013) Benign Metastasizing Leiomyoma: “A Sheep in Wolf’s Clothing”. Community Oncology, 10, 122-125.
 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
 Stewart, E.A. (2001) Uterine Fibroid. Lancet, 357, 293-298. http://dx.doi.org/10.1016/S0140-6736(00)03622-9
 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.
 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.