DIAGNOSTIC AND SURGICAL DIFFICULTIES IN A MASSIVE UNILATERAL SUBSEROSAL CERVICAL LEIOMYOMA MIMICKING A BROAD LIGAMENT FIBROID – AN UNUSUAL CASE AND REVIEW OF LITERATURE

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Dr. Shashwati Sen
Dr. Kamal Singh
Dr. Gautam Sen

Abstract

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

Published Jan 23, 2021

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