Broad Ligament Leiomyomata - An Important Differential Diagnosis in Huge Abdominal Mass: A Case Report

Abstract

Leiomyomas are a common gynaecological condition affecting 20-30% of women over the age of 35, with prevalence decreasing following menopause. Leiomyomas are most commonly found within the uterus. Rarer extra-uterine locations include the broad ligament, cervix, and vagina. We present an unusual case of multiple Left Broad Ligament Leiomyomata that extended from Left Iliac Fossa and Hypogastrium to Epigastric region in a 50-year-old female. Our case highlights the importance for extra-uterine leiomyoma to be considered as a differential diagnosis in patients presenting with huge abdominal mass suspicious of adnexal tumor or malignancy.

Keywords: broad ligament; extra-uterine; leiomyoma.

Figure 1. MRI Sagittal view of abdomen-pelvis showing thin walled, capsulated lobulated solid mass.

Figure 2. Leiomyomata

Figure 3. Fascicles and interlacing bundles of smooth muscle cells with extensive areas of hyaline degeneration seen in the histopathology of the mass (H & E stain, x 100)