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Indian Journal of Obstetrics and Gynecology

Volume  7, Issue 3, July-September 2019, Pages 495-498
 

Case Report

A Giant Broad Ligament Fibroid with Cystic Degeneration

B Kalpana1, SG Balamurgan2, Suman Chaurasia3

1Chief Surgeon 21st Assistant Surgeon 32nd Assistant Surgeon, Dept. of Obstetrics and Gynecology, Guru Institute of Medical Science, Madurai, Tamil Nadu 625107, India.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7319.21

Abstract

Fibroid is the commonest benign tumor of the uterus and extrauterine sites are rare of it. Broad ligament fibroid is most common extrauterine site. We are presenting a case of 43 year old female Multipara, sterilized who presented in guru hospital, Madurai with complaints of abdominal distention with abdominal pain. CA 125 was borderline 37.5. On evaluation it was look like ovarian malignancy/ broad ligament fibroid. Intraoperatively, uterus was pushed to side and a broad ligament fibroid of 30 × 25 × 18 cm noted which is densly adhered to bowel posteriorly and ureter is passing lower and medial to mass. Exploratory laprotomy with total hysterectomy with excision of broad ligament fibroid done which was weighing 8.5 kg. Histopathology came as broad ligament fibroid with hyline and cystic degeneration. This case is reported for its rarity and the diagnostic difficulties in differentiating malignant ovarian tumor, benign fibroid with cystic degeneration and surgical oriantation for its removal.


Keywords : Broad ligament fibroid; Ovarian malignancy; Exploratory laprotomy.
Corresponding Author : Suman Chaurasia