A rare case of giant broad ligament leiomyoma mimicking ovarian malignancy

Abstract

Broad ligament leiomyomas are uncommon but when they occur they can present in varying degrees of bladder and bowel obstruction. A definite diagnosis of the broad ligament leiomyoma was made after histopathological report of the specimen obtained after operating the patient. A 45 years old female had a history of pain in abdomen and increase abdominal girth for 6 months. On the basis of CT scan a diagnosis of left adnexal mass was made. She was advised surgery and subsequently a mass of 30 cm x 21 cm x 22 cm was resected which weighed 11.05 kgs. : Hyaline degeneration 8 is most common among all of the secondary changes in leiomyomas. However, a dilemma in diagnosis caused by myxoid degeneration. In present case there is presence of both hyaline and myxoid degeneration. This is a unique presentation of a broad ligament leiomyoma which mimicked ovarian malignancy for which staging laparotomy was done.