A rare case of broad ligament fibroid: A diagnostic dilemma

Abstract

Background: Leiomyoma is the most common benign neoplasm of the uterus accounting for approximately 20-30% of cases in females of reproductive age group. Broad ligament fibroids are extremely rare with incidence of < 1%.Case Description: We repot the case of a 40-year female with complains of irregular bleeding per vaginum since last 3 months. On examination there was well circumscribed uniform mass of 16 weeks gravid uterus which appears to be arising from pelvis. Ultrasound pelvis showed a large hypoehoic mass of 92 mm *70 mm *81 mm in? Posterior wall of uterus? Left ovarian mass.Result: Laparotomy showed a huge false left sided broad ligament myoma measuring 10*12 cm. Histopathology confirmed it to be a leiomyoma.Conclusion: Broad ligament leiomyoma mimic ovarian tumors on clinical and radiological examination. Thus, histopathology plays an important role in confirming diagnosis.