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Title: A RARE CASE OF BROAD LIGAMENT FIBROID
e-poster Number: EP 352
Category: Miscellaneous
Author Name: Dr. Pothulwar Geethika
Institute: Kakatiya medical college , warangal
Co-Author Name:
Abstract :
Introduction: The broad ligament is the commonest extrauterine site for occurrence of leiomyoma. Because of its rarity, it poses both clinical
and radiological difficulties in differentiating against an ovarian tumor.
Case description:I?m presenting a rare case of leiomyoma of broad ligament in a 45-year-old female with complaints of lower abdominal
lump, pain, and menstrual abnormality. On clinical examination, there was a 14 week-old firm, nontender, and mobile mass extending to the
umbilicus. Ultrasound pelvis showed a heterogenous lesion of 5*4*3 cm with peripheral vascularity on the right side with ? Right ovarian cyst or broad ligament fibroid. MRI pelvis showed similar findings. IVP was normal.
Result: Laparotomy showed a huge false left-sided broad ligament leiomyoma measuring 5*4*3cm Histopathology confirmed it to be a
soft tissue tumor-leiomyoma.
Conclusion: Broad ligament leiomyomas mimic ovarian tumors on clinical and radiological examination and may pose difficulties in differentiating both. Its diagnosis is difficult on clinical and radiological features owing to its unusual presentation. Thus histopathology plays an important role in confirming its diagnosis.
