Abstract
In reproductive age group extensive mass for abdomen may leads to lots of diagnostic difficulties among those ovarian tumors and uterine fibroids are most favourable diagnosis.Huge fibroids are known to arise from the uterus, although very rarely from extra-uterine sites. Among extra-uterine fibroids, broad ligament fibroids generally achieve enormous size and generally present with pressure symptom like bladder and bowel dysfunction. We report a case of false broad ligament fibroid. This case is reported for its rarity and the diagnostic difficulties in differentiating ovarian tumor and benign fibroid with cystic degeneration. Keywords: Pseudo broad ligament fibroid, Cystic and hyaline changes.
Highlights
Excluding pregnancy, leiomyoma are most common tumors of all pelvic tumors, being present in 20% women in the reproductive age group[1]
Due to its rarity it’s very difficult to differentiate from other differential diagnosis like solid ovarian mass tumor, clinically
Broad ligament fibroids are of two types either a uterine tumor which grows into the broad ligament known as false broad ligament tumor but it preserve uterine attachments
Summary
Leiomyoma (fibroids) are most common tumors of all pelvic tumors, being present in 20% women in the reproductive age group[1]. Characteristic symptoms of fibroids include menstrual disturbances and dysmenorrhea[1] Symptoms related to pressure caused by the mass like bladder and bowel dysfunction may present.[4] Due to its rarity it’s very difficult to differentiate from other differential diagnosis like solid ovarian mass tumor, clinically. This is one of such cases where accurate origin of pathology was got confused clinically and ultrasonographically. Microscopic examination of tumor that was found in the left broad ligament demonstrates parallel and resecting fascicles of smooth muscle cells with scattered thick walled blood vessels, and areas of marked hyalinization and cystic degeneration.
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