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Giant Broad Ligament Leiomyoma Mimicking Adnexal Tumor: a Case Report | ||
| Women’s Health Bulletin | ||
| مقالات آماده انتشار، اصلاح شده برای چاپ، انتشار آنلاین از تاریخ 10 تیر 1405 اصل مقاله (906.17 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/whb.2026.109894.1388 | ||
| نویسندگان | ||
| Aymane Ouriaghli* 1؛ Benali Saad1؛ Alilou Ismail2؛ Moukit Mounir2؛ Rahmoune Mohammed2؛ Kouach Jaouad1؛ Baba Habib Moulay Abdellah2 | ||
| 1Department of Obstetrics and Gynecology, Military Hospital, Mohamed V University, Rabat, Morocco | ||
| 2Department of Obstetrics and Gynecology, Military Hospital, Hassan 2 University, Meknès, Morocco | ||
| چکیده | ||
| Introduction: Broad ligament leiomyomas are rare extrauterine smooth muscle tumors accounting for less than 1% of all uterine fibroids. Their atypical location leads to distortion of pelvic anatomy and frequent misdiagnosis as adnexal or ovarian tumors. Even advanced imaging modalities may fail to clearly identify the site of origin, creating significant diagnostic and surgical challenges. Case Presentation: We reported a case of a giant broad ligament leiomyoma initially suspected to be an adnexal tumor. A 40-year-old multiparous woman presented with progressive abdominal distension and pelvic discomfort. Imaging revealed a 12 × 10 cm adnexal mass suspicious for ovarian pathology. Exploratory laparotomy identified a right broad ligament leiomyoma, which was successfully excised with preservation of the uterus and adnexa. Histopathology confirmed a benign leiomyoma with degenerative changes. The postoperative course was uneventful, and follow-up showed no recurrence. Conclusions: Broad ligament leiomyomas should be considered in the differential diagnosis of adnexal masses, especially when imaging findings are inconclusive. Despite advances in radiologic evaluation, definitive diagnosis is often achieved intraoperatively. Awareness of this entity is essential to avoid misdiagnosis, prevent unnecessary radical surgery, and ensure careful intraoperative identification of displaced structures such as the ureter; surgical excision provides an excellent prognosis. | ||
| کلیدواژهها | ||
| Leiomyoma؛ Broad Ligament؛ Adnexal Diseases؛ Organ Sparing Treatments؛ Gynecologic Surgical Procedures | ||
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آمار تعداد مشاهده مقاله: 5 تعداد دریافت فایل اصل مقاله: 2 |
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