Abstract
Introduction Fibroid is the most common benign tumor of the uterus and occurs in 20–50% of women, mostly situated in the body of the uterus (Metzger et al. J Reprod Med 33:246–248, 1988). They rarely arise from extrauterine sites with round ligament which is very uncommon. Its incidence is not known exactly, and the mean age ranges from 13 to 70 years. However, by clinical examination and newer imaging modalities, we can easily know about size, number and origin of these tumors, and any anatomical distortion of surrounding vital organs, but sometimes, it is very difficult to differentiate preoperatively between large round ligament leiomyomas and ovarian/adnexal pathology especially if cystic degeneration or necrosis is present in leiomyoma.
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