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Case report


Broad ligament fibroid mimicking as ovarian tumor on ultrasonography and computed tomography scan.

Dayananda Kumar RajannaVaibhav PandeySujit JanardhanSujatha N Datti
Date of Submission: 01-Jan-2013, Date of Acceptance: 11-Jan-2013, Date of Web Publication: 28-Feb-2013.
Corresponding Author:
Corresponding Author

Dayananda Kumar Rajanna

No.124/2, Hosahalli, Hunasamaranahalli, Bangalore ‑ 562 114, Karntaka State, India.
E-mail: drkrdayanand@gmail.com

Corresponding Author:
Corresponding Author

Dayananda Kumar Rajanna

No.124/2, Hosahalli, Hunasamaranahalli, Bangalore ‑ 562 114, Karntaka State, India.
E-mail: drkrdayanand@gmail.com

DOI: 10.4103/2156-7514.107912 Facebook Twitter Google Linkedin

ABSTRACT


Giant fibroids are known to arise from the uterus, and very rarely from the broad ligament. Large fibroids often undergo hyaline, cystic, and at times, red degeneration. In the present case, cystic degeneration with intervening septations in an adnexal mass raised the suspicion of ovarian neoplasm as the ovaries were not seen as separate from the lesion. The ultrasonographic and contrast-enhanced computed tomographic findings of this case were characteristic of ovarian neoplasm. The differential diagnosis included rare possibility of giant fibroid with cystic degeneration. The diagnosis was confirmed on histopathological examination. The patient underwent excision of the broad ligament fibroid, hysterectomy, and bilateral salpingo-oophorectomy. Magnetic resonance imaging has a role in the diagnosis of such lesions.
Keywords: Broad Ligament, Computed Tomography Scan, Fibroid, Ultrasonography

Cited in 6 Documents

  1. (2014) Échographie endovaginale doppler–3D. 127. doi: 10.1016/B978-2-294-72428-2.00005-6
  2. Sangeeta Pankaj, Syed Nazneen, Anita Kumari, Jaya Kumari, Vijayanand Choudhary and Anjili Kumari (2017) Fibroid Mimicking Ovarian Malignancy: A Rare Case Report. Indian J Gynecol Oncolog 15(4):. doi: 10.1007/s40944-017-0170-9
  3. Lindsay M. Kindinger, Thomas E. Setchell and Tariq S. Miskry (2014) Broad ligament fibroids—a radiological and surgical challenge. Gynecol Surg 11(1):19. doi: 10.1007/s10397-013-0826-0
  4. Xu Qi-hua, Zhao Chen, Zhu Jian-gang, Zou Da-zhong and Zheng Yong-qiang (2014) Comparison of contrast-enhanced ultrasonography and contrast-enhanced MRI for the assessment of vascularization of hydroxyapatite orbital implants. Clinical Imaging 38(5):616. doi: 10.1016/j.clinimag.2014.05.005
  5. Leelavathi  , Priyankur Roy, K. Triveni and S. Impana (2015) Broad Ligament Fibroid Mimicking as Ovarian Tumour. OJOG 05(11):665. doi: 10.4236/ojog.2015.511093
  6. Fatima Bakari, Hajaratu U. Sulayman, Solomon Avidime, Nkeirukah Ameh and Adebiyi G. Adesiyun (2015) Huge Broad Ligament Leiomyoma: A Case Report. CRCM 04(02):55. doi: 10.4236/crcm.2015.42013

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