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Fibroids are the most common monoclonal benign tumors of the uterus arising in the smooth muscle cells of myometrium with an incidence of 20-25%. They may be confined to the cervix, usually in the supravaginal portion, in 1-2% cases. A large supravaginal cervical fibroid with cystic degeneration may mimic an ovarian tumour. We describe an unusual case of a massive unilateral cervical fibroid, extending upwards to mimic a broad ligament fibroid both clinically and radiologically. The diagnosis was made only on laparotomy. A search through previous publications did not reveal any report where a cervical fibroid had been diagnosed pre-operatively as a broad ligament fibroid. Large cervical fibroids pose surgical difficulties due to their close relation to ureter, bladder and rectum. We review the literature to explore the diagnostic modalities, per-operative complications and the precautions that need to be taken during surgery to prevent injury to the ureter and bladder.
Keywords: Cervical fibroid; Supravaginal; Lateral cervical leiomyoma; Broad ligament