Welcome to the ePoster Viewing Panel of AICOG 2025

Jio World Convention Center, Mumbai
Go back

Title: RARE CASE OF HUGE BILATERAL BROAD LIGAMENT FIBROIDS

e-poster Number: EP 187

Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Yogita Bhardwaj
Institute: Sir HN RELIANCE FOUNDATION HOSPITAL
Co-Author Name:
Abstract :
INTRODUCTION - HUGE BROAD LIGAMENT FIBROIDS IS RARE, BENIGN TUMOR CAUSE SEVERE PELVIC PAIN , HYDRO URETER/ HYDRONEPHROSIS ETC . AIMS & OBJECTIVE ? 53 YR PERIMENOPAUSAL P2L2 WOMAN HAD C/O PAIN IN LOWER ABDOMEN , IRREGULAR MENSTRUAL CYCLE . P/A ? LARGE IRREGULAR MASS IN MIDLINE EXTENDING ABOVE UMBILICUS . P/V - UTERUS NOT SEPERATED FROM MASS . TUMOR MARKERS WERE NEGATIVE. MATERIAL AND METHODS :PATIENT WAS ADMITTED IN RANCHI . 27/9/24 MRI SHOWED BULKY UTERUS WITH LARGE LOBULATED HETEROGENEOUS ENHANCING SPACE OCCUPYING LESION IN ANTERO- INFERIOR ASPECT OF UTERINE BODY WITH EXOPHYTIC COMPONENT TOWARDS RIGHT SIDE OF ABDOMEN WITH HYDRO-UROTERONEPHROSIS- S/O LEIOMYOSARCOMA OR MYXOID DEGENARTION OF FIBROID. PATIENT CAME TO SIR HN RELIANCE FOUNDATION HOSPITAL, MUMBAI. CT A+P 12/10/24 AT RFH SHOWED 19.5 X 15.9 X 17.5 CM PELVIC MASS EPICENTRED IN UTERUS INSEPERABLE FROM BILATERAL ADNEXA WITH EXTENT AND INVOLVEMEMNT AS MENTIONED .NO SIGNIFICANT ENLARGED ABDOMINO PELVIC LYMPHADENOPATHY. ON EXPLORATORY LAPROTOMY , LARGE VERY VASCULAR RIGHT BROAD LIGAMENT FIBROID OF 18X 15 CM FIBROID AND ONE LEFT SIDED BROAD LIGAMENT FIBROID 6 X 7 CM . BLADDER DENSENLY ADHERENT TO LOWER UTERINE SEGMENT . LOWER CENTRAL CERVICAL FIBEROID DISTORTING BOTH UTERINE ARTERY LATERALLY . BOTH RT AND LEFT BROAD LIGAMENT FDIBROIDS REMOVED CAREFULLY . FROZEN SECTION NO MALIGNANCY & TOTAL ABDOMINAL HYSTERECTOMY WITH BILATERAL SALPINGO- OOPHERECTOMY DONE. VASCULAR BED OOZING PERSISTED IN SPITE OF HEMOSTATIC SUTURES HENCE OOZING CONTROLLED WITH FLOW SEAL( CONTAINING BOVINE DERIVED GELATIN MATRIX , HUMAN DERIVED THROMBIN ). INTRA- OP 2 PCV GIVEN. RESULT : HPR - LEIOMYOMA .NO MALIGNANCY NOTED. 1 MONTH F/U , PATIENT IS DOING WELL , HB 11 AND GONE BACK TO RANCHI. CONCLUSION: BILATERAL HUGE BROAD LIGAMENT FIBROID ARE RARE PELVIC TUMORS THAT CAN BE MISTAKEN FOR OVARIAN TUMORS , MAKING DIAGNOSTIC AND SURGICAL CHALLENGING DUE TO THERE SIZE AND LOCATION. SURGICAL MANAGEMENT IS FEASIBLE BUT REQUIRE SKILLED EXPERTISE TO AVOID COMPLICATIONS ESPECIALLY URETRIC INJURY. CLINICAL SIGNIFICANCE- WE PRESENT THIS CASE BECAUSE OF ITS RARITY AND DIAGNOSTIC DIFFICULTIES , IT POSED .