One of the biggest broad ligament fibroids reported in India: a case report

One of the most common findings in gynecological practice is uterine leiomyoma, but giant leiomyomas are rare. Due to its size, it poses a major challenge with regard to diagnosis, treatment, and surgery. In this article, we report one such case in a 40-year-old woman who noticed abdominal distension and diffuse pain over the abdomen for 3 months. Increased frequency of menstrual cycles and passage of blood clots in menses were also noted. Ultrasonography revealed a large well-defined heterogeneous lesion, solid and cystic areas seen in the pelvis extending to the epigastric region superiorly and laterally up to the right and left hypochondrium. In addition, the patient had stones in the gall bladder. Gallstones and their association with Leiomyomas are discussed in the later part of this article. Grossly, the specimen was 6030 gm uterine leiomyoma measuring 33×28 cm in size located completely in the broad ligament of the uterus. Histologically, it had smooth muscle fibers with interspersed hyaline degeneration.