Fertility preservation in a large broad ligament leiomyoma: a case report

被引:0
作者
Aljoudeh, Jouni [1 ]
Deeb, Ali [2 ]
Ranjous, Yahia [1 ]
Alahmad, Mari [1 ]
Diab, Sarah Al Haj [2 ]
Abo Moughdeb, Aimar [2 ]
Adwan, Dema [2 ]
机构
[1] Damascus Univ, Fac Med, Damascus, Syria
[2] Damascus Univ, Univ Matern Hosp, Damascus, Syria
关键词
Leiomyoma; Extrauterine fibroids; Broad ligament; Hyaline degeneration; Case report; UTERINE; DIAGNOSIS; ETIOLOGY; UTERUS;
D O I
10.1186/s13256-025-05384-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundUterine leiomyomas (uterine fibroids) are the most common tumors of the uterus. Extrauterine fibroids are rare, with the broad ligament being the most common location. Fibroids are usually asymptomatic. Some common symptoms include menstrual disturbances, a sensation of heaviness, and urinary issues.Case presentationA 27 year-old Syrian woman presented with lower abdominal pain that had persisted for a year. Her last delivery was 9 months prior. Ultrasound imaging revealed a 10 cm x 15 cm heterogeneous mass extending from the right iliac region to the umbilical region. The mass was surgically resected, with preservation of the uterus and adnexa. Histopathological examination confirmed the diagnosis as leiomyoma with hyaline degeneration.ConclusionLeiomyomas, typically located in the uterus, can also occur in extrauterine locations such as the broad ligament. The diagnosis and management of extrauterine fibroids are challenging owing to their rarity and rich vascularity of the surrounding tissue, especially in patients wishing to preserve fertility.
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