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Fertility preservation in a large broad ligament leiomyoma: a case report.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101293382 Publication Model: Electronic Cited Medium: Internet ISSN: 1752-1947 (Electronic) Linking ISSN: 17521947 NLM ISO Abbreviation: J Med Case Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, [2007-
    • Subject Terms:
      Leiomyoma*/surgery ; Leiomyoma*/pathology ; Leiomyoma*/diagnostic imaging ; Broad Ligament*/pathology ; Broad Ligament*/surgery ; Broad Ligament*/diagnostic imaging ; Fertility Preservation*/methods ; Uterine Neoplasms*/surgery ; Uterine Neoplasms*/pathology; Humans ; Female ; Adult ; Ultrasonography ; Abdominal Pain/etiology ; Treatment Outcome
    • Abstract:
      Competing Interests: Declarations. Ethics approval and consent to participate: Case reports are exempt from ethical approval in our university. Consent for publication: Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests: The authors declare that they have no competing interests.
      Background: Uterine leiomyomas (uterine fibroids) are the most common tumors of the uterus. Extrauterine fibroids are rare, with the broad ligament being the most common location. Fibroids are usually asymptomatic. Some common symptoms include menstrual disturbances, a sensation of heaviness, and urinary issues.
      Case Presentation: A 27 year-old Syrian woman presented with lower abdominal pain that had persisted for a year. Her last delivery was 9 months prior. Ultrasound imaging revealed a 10 cm × 15 cm heterogeneous mass extending from the right iliac region to the umbilical region. The mass was surgically resected, with preservation of the uterus and adnexa. Histopathological examination confirmed the diagnosis as leiomyoma with hyaline degeneration.
      Conclusion: Leiomyomas, typically located in the uterus, can also occur in extrauterine locations such as the broad ligament. The diagnosis and management of extrauterine fibroids are challenging owing to their rarity and rich vascularity of the surrounding tissue, especially in patients wishing to preserve fertility.
      (© 2025. The Author(s).)
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    • Contributed Indexing:
      Keywords: Broad ligament; Case report; Extrauterine fibroids; Hyaline degeneration; Leiomyoma
    • Publication Date:
      Date Created: 20250704 Date Completed: 20250705 Latest Revision: 20250707
    • Publication Date:
      20250707
    • Accession Number:
      PMC12228388
    • Accession Number:
      10.1186/s13256-025-05384-y
    • Accession Number:
      40616185