
Shubhdeep Kaur
Bombay Hospital and Medical Research Institute, IndiaTitle: Broad Ligament Myoma : A Case managed by Vaginal Hysterectomy and Broad Ligament Myomectomy
Abstract
Background:
One of the commonest site of extra uterine
leiomyoma is broad ligament fibroid but with low incidence
rate. We present a patient
with complaints of lower abdominal pain, back pain and premenstrual spotting
per vaginum.
Result: Abdominal
examination revealed a huge firm mass arising from the pelvis corresponding to
10-12week size. Cervix
was deviated to right and elevated but felt separable of the mass. Ultrasonographic
examination showed left adnexal 9 cm fibroid beside the uterus suggesting pedunculated
fundal leiomyoma. Laparoscopy was planned but vaginal hysterectomy was
attempted considering the expertise of the surgeon and previous 2 vaginal
deliveries. Surprisingly it turned out to be a broad ligament fibroid.
Conclusion: Non descending vaginal hysterectomy was done
to increase the space and working field for performing the broad ligament myomectomy.
Extreme care was taken to avoid the ureteric injury. This case was reported
because of the rare incidence of broad ligament leiomyoma and the difficulty in
its operative management.
Biography
Dr Shubhdeep Kaur is persuing her Masters
in surgery at the age of 25 years from Bombay Hospital Institute of Medical
Sciences, India. She is final year resident in the department of Obstetrics and
Gynaecology. She has over 5 publications. She has written a lesson on secondary
Polycystic Ovarian Syndrome in the year book of obstetrics and gynaecology
2020. She completed her MBBS from Grant Government Hospital and Sir JJ group of
hospitals, Mumbai.