A Case of Large Broad Ligament Fibroid: Still A Diagnostic Dilemma

Abstract Introduction: The broad ligament leiomyoma is the most common extra uterine site for leiomyoma to occur. Case Description: We are presenting a rare case of broad ligament fibroid in 37 years old P1L1A2 female with complaints of dyspepsia and heaviness in the abdomen with no menstrual complaints. Clinical examination revealed a 18 weeks size uterus with right forniceal fullness and no tenderness. Ultrasonography revealed anterior wall fibroid with peripheral vascularity. Result: Laparoscopic myomectomy attempted revealed a broad ligament fibroid and intraoperative decision to do exploratory laparotomy with myomectomy was taken. Histopathologic examination confirmed the diagnosis of leiomyoma. Conclusion: Owing to its rare nature and non-specific clinical presentations, broad ligament fibroid still poses a diagnostic dilemma and are often misdiagnosed as ovarian tumour or in our case uterine fibroid. Intraoperative findings and histopathological examination play a significant role in diagnosis and management. Clinical significance: We present this case because of its rarity and diagnostic difficulty it posed.