A Huge Broad Ligament Fibroid With Degenerative Changes: A Rare Case Report

Abstract

Broad ligament is a very uncommon site for presentation of leiomyoma with a very low incidence rate. Because of its overall low incidence rate, it poses both clinical and radiological difficulty in differentiating with an ovarian tumour. We are presenting a rare case of leiomyoma of broad ligament in a 48-year-old female patient who presented with complaints of lower abdominal pain of long duration associated with menstruation along with bladder complaints. On clinical and radiological examination, it was found to be a left-sided mass in the pelvic region suspected to be a tubo-ovarian mass. On laparotomy, there was a huge mass measuring 18×14×12 cm in the left-sided broad ligament attached to the lateral wall of uterus. On histopathology, it was confirmed to be a soft tissue tumour -leiomyoma. We present this case because of its rarity and the diagnostic difficulties posed.